| Fortune Smiles, Inc. | |
|
18543 S Dixie Hwy Cutler Bay FL 33157-6845 | |
| (305) 259-9210 | |
| (305) 259-9120 |
| Full Name | Fortune Smiles, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 18543 S Dixie Hwy, Cutler Bay, Florida |
| Authorized Official Name and Position | Madelene Michelle Trujillo (OWNER) |
| Authorized Official Contact | 3052640747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fortune Smiles, Inc. 18543 South Dixie Hwy Cutler Bay FL 33157-1765 Ph: (305) 264-0747 | Fortune Smiles, Inc. 18543 S Dixie Hwy Cutler Bay FL 33157-6845 Ph: (305) 259-9210 |
| NPI Number | 1568784270 |
|---|---|
| Provider Enumeration Date | 02/22/2010 |
| Last Update Date | 11/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568784270 | NPI | - | NPPES |
| 013776 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN18770 (Florida) | Primary |
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› Verified 5 days ago
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