| American Pediatric Dental Group | |
|
12331 Sw 3rd St Ste 5 Plantation FL 33325-2813 | |
| (844) 304-5437 | |
| Not Available |
| Full Name | American Pediatric Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12331 Sw 3rd St Ste 5, Plantation, Florida |
| Authorized Official Name and Position | Shasan William Liou (MANAGER) |
| Authorized Official Contact | 6784271412 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| American Pediatric Dental Group 10021 Pines Blvd Ste 100 Pembroke Pines FL 33024-6191 Ph: (844) 304-5437 | American Pediatric Dental Group 12331 Sw 3rd St Ste 5 Plantation FL 33325-2813 Ph: (844) 304-5437 |
| NPI Number | 1730697723 |
|---|---|
| Provider Enumeration Date | 01/12/2018 |
| Last Update Date | 01/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730697723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | DN19743 (Florida) | Secondary |
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