Pura Vida Smiles, PC

NPI #1740602846 in Jackson, Michigan

Provider Information

NPI Number: 1740602846
Entity Type: Organization
Organization Name: Pura Vida Smiles, PC
Primary Specialty: Dentist
Enumeration Date: Jan 9, 2014
Last Updated: Jan 9, 2014

Practice Location

Address: 1113 BOARDMAN RD
City: Jackson
State: Michigan
ZIP Code: 49202-1901
Phone: (517) 768-8100

Authorized Official

Name: JASON BERTOLLINI
Title: PRM
Phone: (866) 273-8204

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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