Provider Demographics
NPI:1194503326
Name:ASPIRING SMILES LLC
Entity type:Organization
Organization Name:ASPIRING SMILES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GENA
Authorized Official - Middle Name:F
Authorized Official - Last Name:PINEDA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:618-304-5988
Mailing Address - Street 1:2301 GLADES RD STE 101
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-7398
Mailing Address - Country:US
Mailing Address - Phone:561-208-1988
Mailing Address - Fax:561-208-1981
Practice Address - Street 1:2301 GLADES RD STE 101
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-7398
Practice Address - Country:US
Practice Address - Phone:561-208-1988
Practice Address - Fax:561-208-1981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-19
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental