| Dental Implant & Facial Surgery | |
|
2600 East Commercial Blvd Suite 200 Fort Lauderdale FL 33308 | |
| (954) 566-0300 | |
| (954) 566-9066 |
| Full Name | Dental Implant & Facial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2600 East Commercial Blvd, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Michel Matouk (OWNER) |
| Authorized Official Contact | 9545660300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Implant & Facial Surgery 2600 East Commercial Blvd Suite 200 Fort Lauderdale FL 33308 Ph: (954) 566-0300 | Dental Implant & Facial Surgery 2600 East Commercial Blvd Suite 200 Fort Lauderdale FL 33308 Ph: (954) 566-0300 |
| NPI Number | 1528712189 |
|---|---|
| Provider Enumeration Date | 02/11/2022 |
| Last Update Date | 02/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528712189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| 204E00000X | Oral & Maxillofacial Surgery | (* (Not Available)) | Secondary |
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