| Broward Endodontics | |
|
3020 Ne 32 Ave Ste 322 Fort Lauderdale FL 33308 | |
| (954) 990-5363 | |
| (954) 990-5377 |
| Full Name | Broward Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 3020 Ne 32 Ave, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Sonia Idalia Pena (OWNER) |
| Authorized Official Contact | 9544633636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broward Endodontics 3020 Ne 32 Ave Ste 322 Fort Lauderdale FL 33308 Ph: (954) 990-5363 | Broward Endodontics 3020 Ne 32 Ave Ste 322 Fort Lauderdale FL 33308 Ph: (954) 990-5363 |
| NPI Number | 1083624100 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 04/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083624100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 8594 (Florida) | Secondary |
| 1223E0200X | Dentist - Endodontics | DN8594 (Florida) | Primary |
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