30a Smiles LLC
NPI #1649648502 in Inlet Beach, Florida
Provider Information
- NPI Number
- 1649648502
- Entity Type
- Organization
- Organization Name
- 30a Smiles LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 9, 2015
- Last Updated
- Sep 9, 2015
Practice Location
- Address
- 12805 US HIGHWAY 98 E
- Address 2
- SUITE K 201
- City
- Inlet Beach
- State
- Florida
- ZIP Code
- 32413-9630
- Phone
- (850) 231-0070
Authorized Official
- Name
- KIM FLEITZ
- Title
- CSO
- Phone
- (850) 231-0070
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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