30A SMILES LLC
Dentist in Panama City, FL

License number
Florida DN15148
Category
Dentist
Type
General Practice
Owner
Name: KIM FLEITZ
Title: CSO
Phone: (850) 231-0070
Address
Address
12805 Us Highway 98 E SUITE K 201, Panama City, FL 32413
National Provider ID: 1649648502
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about 30A SMILES LLC at bizstanding.com

30A SMILES LLC

Panama City, FL

Registration:
Oct 16, 2013
Addresses:
169 Cp Crk Rd S, Panama City Beach, FL 32413 (Physical)
PO Box 611373, Panama City, FL 32461
2407 W 11 St, Panama City, FL 32401
State ID:
L13000145873
Business type:
Florida Limited Liability Company
Managing Members:
Fleitz Smiles Pa, 169 Cp Crk Rd S, Panama City Beach, FL 32413 (Physical),Lindsey M Hoppe Dds Pa, 157 Anchor Rode Cir, Santa Rosa Beach, FL 32459 (Physical),Derek R. Fleitz (Managing Member)
Agent:
Kimberly Fleitz,169 Cp Crk Rd S, Panama City Beach, FL 32413 (Physical)
EIN:
46-3884516

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