| |
3900 Hollywood Blvd 304 Hollywood FL 33021-6760 | |
(954) 989-5500 | |
Not Available |
Full Name | |
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Speciality | Dentist |
Location | 3900 Hollywood Blvd, Hollywood, Florida |
Authorized Official Name and Position | Hans Sperling (PRESIDENT) |
Authorized Official Contact | 9548059977 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1055 Briar Ridge Rd Weston FL 33327-1712 Ph: (954) 385-2457 | 3900 Hollywood Blvd 304 Hollywood FL 33021-6760 Ph: (954) 989-5500 |
NPI Number | 1912112921 |
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Provider Enumeration Date | 05/12/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912112921 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | DN 15244 (Florida) | Primary |
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