| Coconut Creek Dental Center | |
|
4825 Coconut Creek Pkwy Coconut Creek FL 33063-3944 | |
| (954) 975-0123 | |
| (954) 975-0123 |
| Full Name | Coconut Creek Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 4825 Coconut Creek Pkwy, Coconut Creek, Florida |
| Authorized Official Name and Position | Peter A Rossen (OWNER) |
| Authorized Official Contact | 9549750123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coconut Creek Dental Center 4825 Coconut Creek Pkwy Coconut Creek FL 33063-3944 Ph: (954) 975-0123 | Coconut Creek Dental Center 4825 Coconut Creek Pkwy Coconut Creek FL 33063-3944 Ph: (954) 975-0123 |
| NPI Number | 1215078597 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215078597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | FL 8066 (Florida) | Primary |
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