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7193 W Oakland Park Blvd Lauderhill FL 33313-1050 | |
| (954) 741-0102 | |
| (954) 741-4156 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7193 W Oakland Park Blvd, Lauderhill, Florida |
| Authorized Official Name and Position | Oscar Miranda (VICE PRESIDENT) |
| Authorized Official Contact | 3238264199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7193 W Oakland Park Blvd Lauderhill FL 33313-1050 Ph: (954) 741-0102 | 7193 W Oakland Park Blvd Lauderhill FL 33313-1050 Ph: (954) 741-0102 |
| NPI Number | 1669953402 |
|---|---|
| Provider Enumeration Date | 08/28/2018 |
| Last Update Date | 12/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669953402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN0014173 (Florida) | Primary |
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