| Cl Dds 3 Pa | |
|
2500 E Hallandale Beach Blvd Ste M Hallandale Beach FL 33009-4833 | |
| (954) 951-3001 | |
| Not Available |
| Full Name | Cl Dds 3 Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2500 E Hallandale Beach Blvd Ste M, Hallandale Beach, Florida |
| Authorized Official Name and Position | Craig Lustman (OWNER) |
| Authorized Official Contact | 4108048380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cl Dds 3 Pa 3320 Sw 58th St Fort Lauderdale FL 33312-6365 Ph: () - | Cl Dds 3 Pa 2500 E Hallandale Beach Blvd Ste M Hallandale Beach FL 33009-4833 Ph: (954) 951-3001 |
| NPI Number | 1528790177 |
|---|---|
| Provider Enumeration Date | 06/30/2022 |
| Last Update Date | 06/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528790177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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