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General NPI Number Information
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NPI Number | 1588501621
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Entity Type | Organization
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Legal Business Name | SMILEWAVE DENTAL PA
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Dates
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Enumeration Date | 04/29/2026
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Last Update Date | 04/29/2026
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Provider Practice Location Address
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Address Line | 2480 E COMMERCIAL BLVD STE 2
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-4025
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Country | US
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Telephone | 954-928-1666
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Fax |
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Provider Business Mailing Address
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Address Line | 11004 SW 38TH LN
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City | MIAMI
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State | FL
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Zip | 33165-4440
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | KAMILA RODRIGUEZ ROCHA
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Credential | DMD
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Telephone | 786-521-1750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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