Coral Ridge Smile

LBN: Coral Ridge Smile
Coral Ridge Smile is an health care organization with primary practice located at 2324 Ne 53Rd St , Ft Lauderdale FL 33308-3212. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Coral Ridge Smile can be contacted via phone (954) 990-6543, or through Mir Esmaili, Mandana via phone (954) 990-6543.

Contact Information

Primary practice address
2324 Ne 53Rd St Ft Lauderdale FL 33308-3212
Phone: (954) 990-6543
Fax: (954) 491-4876
Website:
Map and Directions
Authorized official contact:
Name: Mir Esmaili, Mandana Doctor of Dental Surgery (DDS)
Phone: (954) 990-6543

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1689794505
LBN Legal business name Coral Ridge Smile
DBA Doing business as
Authorized official Mir Esmaili, Mandana Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 2nd, 2007
Last updated Feb 16th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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