| Coral Ridge Dental Arts | |
|
1831 Ne 45th St Suite B Fort Lauderdale FL 33308-5117 | |
| (954) 771-3331 | |
| (954) 771-7795 |
| Full Name | Coral Ridge Dental Arts |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1831 Ne 45th St, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Heather Pruemer (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 2175408434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coral Ridge Dental Arts 1831 Ne 45th St Suite B Fort Lauderdale FL 33308-5117 Ph: (954) 771-3331 | Coral Ridge Dental Arts 1831 Ne 45th St Suite B Fort Lauderdale FL 33308-5117 Ph: (954) 771-3331 |
| NPI Number | 1588781314 |
|---|---|
| Provider Enumeration Date | 03/25/2007 |
| Last Update Date | 02/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588781314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN0011299 (Florida) | Primary |
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