| Dental Team Of Coconut Creek Llc | |
|
1507 Lyons Rd Coconut Creek FL 33063-3934 | |
| (954) 974-4104 | |
| (954) 974-6154 |
| Full Name | Dental Team Of Coconut Creek Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1507 Lyons Rd, Coconut Creek, Florida |
| Authorized Official Name and Position | Robert Rodriguez (CEO) |
| Authorized Official Contact | 9545160606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Team Of Coconut Creek Llc 1507 Lyons Rd Coconut Creek FL 33063-3934 Ph: (954) 974-4104 | Dental Team Of Coconut Creek Llc 1507 Lyons Rd Coconut Creek FL 33063-3934 Ph: (954) 974-4104 |
| NPI Number | 1659013126 |
|---|---|
| Provider Enumeration Date | 04/13/2022 |
| Last Update Date | 04/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659013126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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