| Bayview Dental Inc. | |
|
3000 E Commercial Blvd Fort Lauderdale FL 33308-4382 | |
| (954) 491-1904 | |
| (954) 772-3455 |
| Full Name | Bayview Dental Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3000 E Commercial Blvd, Fort Lauderdale, Florida |
| Authorized Official Name and Position | John Destefon (OWNER) |
| Authorized Official Contact | 5618597985 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayview Dental Inc. 3000 E Commercial Blvd Fort Lauderdale FL 33308-4382 Ph: (954) 491-1904 | Bayview Dental Inc. 3000 E Commercial Blvd Fort Lauderdale FL 33308-4382 Ph: (954) 491-1904 |
| NPI Number | 1467816694 |
|---|---|
| Provider Enumeration Date | 04/13/2016 |
| Last Update Date | 04/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467816694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN18561 (Florida) | Primary |
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