Fortune Smiles INC

NPI #1982077939 in Davie, Florida

Provider Information

NPI Number: 1982077939
Entity Type: Organization
Organization Name: Fortune Smiles INC
Primary Specialty: Dentist
Enumeration Date: Nov 12, 2015
Last Updated: Nov 12, 2015

Practice Location

Address: 2879 S UNIVERSITY DR
City: Davie
State: Florida
ZIP Code: 33328-1440
Phone: (954) 474-2499

Authorized Official

Name: DR. MADELENE MICHELLE TRUJILLO, DDS
Title: DENTIST
Phone: (305) 259-9120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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