| Amazing Dental L.l.c. | |
|
5740 Hollywood Blvd Suite# 400 Hollywood FL 33021-6357 | |
| (954) 544-2814 | |
| (954) 544-2913 |
| Full Name | Amazing Dental L.l.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 5740 Hollywood Blvd, Hollywood, Florida |
| Authorized Official Name and Position | Mary Cecilia Crosby (PRESIDENT) |
| Authorized Official Contact | 9545442814 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amazing Dental L.l.c. 5740 Hollywood Blvd Suite# 400 Hollywood FL 33021-6357 Ph: (954) 544-2814 | Amazing Dental L.l.c. 5740 Hollywood Blvd Suite# 400 Hollywood FL 33021-6357 Ph: (954) 544-2814 |
| NPI Number | 1497126817 |
|---|---|
| Provider Enumeration Date | 10/12/2015 |
| Last Update Date | 10/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497126817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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