Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

My Favorite Dental Boutique LLC

Organization General Practice Dentistry · NPI 1255182515

My Favorite Dental Boutique LLC is a General Practice Dentistry in Longwood, Florida. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1670 S US Highway 17 92
Longwood, FL 32750-6516
Phone: (407) 274-4744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1255182515
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paula Grisales Cano — Owner · (407) 274-4744
NPI enumeratedMarch 27, 2024
Last updated in NPPESMarch 27, 2024
Certification dateMarch 27, 2024
Mailing address1670 S Us Highway 17 92, Longwood, FL 32750-6516

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