Dental Specialists Of Broward Group | |
9 Sw 17th St Ft Lauderdale FL 33315-1741 | |
(954) 588-4671 | |
(305) 593-6855 |
Full Name | Dental Specialists Of Broward Group |
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Speciality | Dentist - General Practice |
Location | 9 Sw 17th St, Ft Lauderdale, Florida |
Authorized Official Name and Position | Gary L Golden (CLINICAL DIRECTOR / OWNER) |
Authorized Official Contact | 9545884671 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dental Specialists Of Broward Group 9 Sw 17th St Ft Lauderdale FL 33315-1741 Ph: (954) 588-4671 | Dental Specialists Of Broward Group 9 Sw 17th St Ft Lauderdale FL 33315-1741 Ph: (954) 588-4671 |
NPI Number | 1346674967 |
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Provider Enumeration Date | 08/30/2013 |
Last Update Date | 07/20/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346674967 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DN 2046 (Florida) | Primary |
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