DR. SMILE PA
Dentist at 5 St, Fort Lauderdale, FL

License number
Florida DN10126
Category
Dentist
Type
General Practice
Owner
Name: DR. PHILIP A PINE DDS
Title: OWNER/DENTIST
Phone: (954) 791-0330
Address
Address
7420 NW 5Th St STE 101, Fort Lauderdale, FL 33317
National Provider ID: 1063720795
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about DR. SMILE PA at bizstanding.com

DR. SMILE, PA

Ft Lauderdale, FL  -  Pompano Beach, FL

Status:
Inactive
Inactive reason:
Name Change Amendment
Registration:
May 3, 2000
Inactive since:
Mar 29, 2010
Addresses:
7420 N W 5 St SUITE 101, Ft Lauderdale, FL 33317 (Physical)
50 S Compass Dr, Ft Lauderdale, FL 33308 (Mailing)
1600 E Atlantic Blvd, Pompano Beach, FL 33060
7420 NW 5 St, Ft Lauderdale, FL 33317
State ID:
P00000044287
Business type:
Florida Profit Corporation
President, Treasurer, Secretary, Director:
Philip A Pine (President, Treasurer, Secretary, Director), 1600 E Atlantic Blvd, Pompano Beach, FL 33060 (Physical)
Agent:
Philip Pine,1600 E Atlantic Blvd, Pompano Beach, FL 33060 (Physical)
EIN:
65-1005875

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