| Dental Office | |
|
1368 North University Drive Plantation FL 33322-3332 | |
| (954) 739-6464 | |
| (954) 739-6464 |
| Full Name | Dental Office |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1368 North University Drive, Plantation, Florida |
| Authorized Official Name and Position | Jeannette Joe (OFFICE MANAGER) |
| Authorized Official Contact | 9547396464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Office 1368 N University Dr Plantation FL 33322-4734 Ph: (954) 739-6464 | Dental Office 1368 North University Drive Plantation FL 33322-3332 Ph: (954) 739-6464 |
| NPI Number | 1346739257 |
|---|---|
| Provider Enumeration Date | 05/07/2018 |
| Last Update Date | 05/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346739257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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