Smile Design Studio INC

NPI #1639514045 in Lake Mary, Florida

Provider Information

NPI Number: 1639514045
Entity Type: Organization
Organization Name: Smile Design Studio INC
Primary Specialty: Dentist
Enumeration Date: Apr 30, 2013
Last Updated: Apr 30, 2013

Practice Location

Address: 1331 S INTERNATIONAL PKWY
Address 2: SUITE 2271
City: Lake Mary
State: Florida
ZIP Code: 32746-1405
Phone: (407) 804-0770

Authorized Official

Name: DR. MARK A FALCO, DMD, MS
Title: PRESIDENT
Phone: (407) 804-0770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X
Dentist	122300000X	Primary

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