Dental Partners Of Weston | |
2721 Executive Park Dr #1 Weston FL 33331 | |
(954) 385-5855 | |
(954) 385-5258 |
Full Name | Dental Partners Of Weston |
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Speciality | Dentist |
Location | 2721 Executive Park Dr #1, Weston, Florida |
Authorized Official Name and Position | Ralph Collazo (PRESIDENT) |
Authorized Official Contact | 9543855855 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dental Partners Of Weston 2721 Executive Park Dr #1 Weston FL 33331 Ph: (954) 385-5855 | Dental Partners Of Weston 2721 Executive Park Dr #1 Weston FL 33331 Ph: (954) 385-5855 |
NPI Number | 1497802284 |
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Provider Enumeration Date | 01/04/2007 |
Last Update Date | 11/19/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497802284 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DN0012295 (Florida) | Primary |
122300000X | Dentist | DN0011940 (Florida) | Secondary |
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