ORTHOSMILES,P.A.
Dentist at 179 Ave, Hollywood, FL

License number
Florida DN17976
Category
Dentist
Type
Orthodontics and Dentofacial Orthopedics
Owner
Name: DR. GINA COZZARELLI D.M.D.,P.A.
Title: ORTHODONTIST/OWNER
Phone: (954) 404-6712
Address
Address
302 NW 179Th Ave, Hollywood, FL 33029
National Provider ID: 1104278910
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ORTHOSMILES, PA

Hollywood, FL

Registration:
Oct 11, 2012
Addresses:
302 NW 179 Ave 201A, Hollywood, FL 33029 (Physical)
302 NW 179 Ave, Hollywood, FL 33029
State ID:
P12000086241
Business type:
Florida Profit Corporation
President, Secretarys:
Cozzarelli, Gina, Dr, 302 NW 179 Ave, Hollywood, FL 33029 (Physical),Jessica Rosell, 302 NW 179 Ave, Hollywood, FL 33029 (Physical),Gina D. Cozzarelli (President, Secretary)
Agent:
Rosell, Jessica,302 NW 179 Ave SUITE #201-A, Hollywood, FL 33029 (Physical)
EIN:
APPLIED FOR

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