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4229 N Pine Island Rd Sunrise FL 33351-6047 | |
| (954) 581-7555 | |
| (954) 749-7557 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4229 N Pine Island Rd, Sunrise, Florida |
| Authorized Official Name and Position | Nohora Ines Rodriguez (MANAGER MEMBER) |
| Authorized Official Contact | 9545817555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4229 N Pine Island Rd Sunrise FL 33351-6047 Ph: () - | 4229 N Pine Island Rd Sunrise FL 33351-6047 Ph: (954) 581-7555 |
| NPI Number | 1063751501 |
|---|---|
| Provider Enumeration Date | 02/04/2013 |
| Last Update Date | 02/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063751501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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