Dental Lounge Pllc | |
2717 Southwest 2nd Street Ft. Lauderdale FL 33306 | |
(954) 686-5729 | |
(954) 246-0052 |
Full Name | Dental Lounge Pllc |
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Speciality | Dentist - General Practice |
Location | 2717 Southwest 2nd Street, Ft. Lauderdale, Florida |
Authorized Official Name and Position | Anthony Balsam (CEO) |
Authorized Official Contact | 9546865729 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dental Lounge Pllc 2023 Sw 2nd St Pompano Beach FL 33069-3114 Ph: (856) 459-2270 | Dental Lounge Pllc 2717 Southwest 2nd Street Ft. Lauderdale FL 33306 Ph: (954) 686-5729 |
NPI Number | 1780349100 |
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Provider Enumeration Date | 11/01/2021 |
Last Update Date | 11/01/2021 |
Identifier | Type | State | Issuer |
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1780349100 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |