| Cobblestone Family Dental, Pllc | |
|
14938 Pines Blvd Pembroke Pines FL 33027-1213 | |
| (954) 433-2099 | |
| Not Available |
| Full Name | Cobblestone Family Dental, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14938 Pines Blvd, Pembroke Pines, Florida |
| Authorized Official Name and Position | Jordan Tomalty (OWNER) |
| Authorized Official Contact | 5616339676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cobblestone Family Dental, Pllc 14938 Pines Blvd Pembroke Pines FL 33027-1213 Ph: (954) 433-2099 | Cobblestone Family Dental, Pllc 14938 Pines Blvd Pembroke Pines FL 33027-1213 Ph: (954) 433-2099 |
| NPI Number | 1508596099 |
|---|---|
| Provider Enumeration Date | 06/16/2022 |
| Last Update Date | 06/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508596099 | NPI | - | NPPES |
| NA | Other | DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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