Provider Demographics
NPI:1518223999
Name:PERFECT SMILES PARTNERS, P.A.
Entity Type:Organization
Organization Name:PERFECT SMILES PARTNERS, P.A.
Other - Org Name:PERFECT SMILES PARTNERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARMANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:SALAZAR
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:305-238-5537
Mailing Address - Street 1:12002 SW 128TH CT
Mailing Address - Street 2:STE 108
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-4639
Mailing Address - Country:US
Mailing Address - Phone:305-238-5537
Mailing Address - Fax:305-238-5062
Practice Address - Street 1:12002 SW 128TH CT
Practice Address - Street 2:STE 108
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-4639
Practice Address - Country:US
Practice Address - Phone:305-238-5537
Practice Address - Fax:305-238-5062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-10
Last Update Date:2016-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN18556261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental