| Boulevard Dental Associates, Llc | |
|
10794 Pines Blvd Ste 204 Pembroke Pines FL 33026-3920 | |
| (954) 538-9993 | |
| (954) 538-9994 |
| Full Name | Boulevard Dental Associates, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10794 Pines Blvd Ste 204, Pembroke Pines, Florida |
| Authorized Official Name and Position | Claudio Hernandez (DOCTOR) |
| Authorized Official Contact | 9545389993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boulevard Dental Associates, Llc 10794 Pines Blvd Ste 204 Pembroke Pines FL 33026-3920 Ph: (954) 538-9993 | Boulevard Dental Associates, Llc 10794 Pines Blvd Ste 204 Pembroke Pines FL 33026-3920 Ph: (954) 538-9993 |
| NPI Number | 1154814143 |
|---|---|
| Provider Enumeration Date | 06/13/2018 |
| Last Update Date | 06/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154814143 | NPI | - | NPPES |
| 1427594258 | Other | FL | 1427594258 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN12326 (Florida) | Primary |
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