| Dentastic Dental Center | |
|
31 Se 24th Ave Ste 3 Pompano Beach FL 33062-5347 | |
| (954) 781-4670 | |
| Not Available |
| Full Name | Dentastic Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 31 Se 24th Ave Ste 3, Pompano Beach, Florida |
| Authorized Official Name and Position | Paul Shepard (MANAGER) |
| Authorized Official Contact | 9544641098 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentastic Dental Center 31 Se 24th Ave Ste 3 Pompano Beach FL 33062-5347 Ph: (954) 781-4670 | Dentastic Dental Center 31 Se 24th Ave Ste 3 Pompano Beach FL 33062-5347 Ph: (954) 781-4670 |
| NPI Number | 1851554000 |
|---|---|
| Provider Enumeration Date | 07/08/2008 |
| Last Update Date | 07/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851554000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN 18328 (Florida) | Primary |
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