Broward Family Dental Care, Inc. | |
6260 W Oakland Park Blvd Sunrise FL 33313-1214 | |
(954) 742-7995 | |
(954) 742-2857 |
Full Name | Broward Family Dental Care, Inc. |
---|---|
Speciality | Dentist |
Location | 6260 W Oakland Park Blvd, Sunrise, Florida |
Authorized Official Name and Position | Sayed M Fadavi (PRESIDENT) |
Authorized Official Contact | 9547427995 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Broward Family Dental Care, Inc. 6260 W Oakland Park Blvd Sunrise FL 33313-1214 Ph: (954) 742-7995 | Broward Family Dental Care, Inc. 6260 W Oakland Park Blvd Sunrise FL 33313-1214 Ph: (954) 742-7995 |
NPI Number | 1639554108 |
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Provider Enumeration Date | 07/27/2015 |
Last Update Date | 07/27/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639554108 | NPI | - | NPPES |
014279900 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DN14848 (Florida) | Primary |
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