| Cl Dds 2 Pa | |
|
9156 Wiles Rd Coral Springs FL 33067-1999 | |
| (954) 255-2787 | |
| Not Available |
| Full Name | Cl Dds 2 Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 9156 Wiles Rd, Coral Springs, Florida |
| Authorized Official Name and Position | Craig Lustman (OWNER) |
| Authorized Official Contact | 9542552787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cl Dds 2 Pa 3320 Sw 58th St Ft Lauderdale FL 33312-6365 Ph: (443) 235-2403 | Cl Dds 2 Pa 9156 Wiles Rd Coral Springs FL 33067-1999 Ph: (954) 255-2787 |
| NPI Number | 1962010652 |
|---|---|
| Provider Enumeration Date | 07/19/2020 |
| Last Update Date | 07/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962010652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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