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1261 S Federal Hwy Pompano Beach FL 33062-7070 | |
(754) 225-1001 | |
Not Available |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 1261 S Federal Hwy, Pompano Beach, Florida |
Authorized Official Name and Position | Daniel Rodriguez (COO) |
Authorized Official Contact | 9545053269 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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12169 Pembroke Rd Pembroke Pines FL 33025-1727 Ph: (954) 505-3269 | 1261 S Federal Hwy Pompano Beach FL 33062-7070 Ph: (754) 225-1001 |
NPI Number | 1730891136 |
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Provider Enumeration Date | 12/16/2022 |
Last Update Date | 04/13/2023 |
Identifier | Type | State | Issuer |
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1730891136 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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