| Doctor's Dental Group | |
|
3850 Coconut Creek Pkwy Ste C Coconut Creek FL 33066-1600 | |
| (954) 917-7600 | |
| Not Available |
| Full Name | Doctor's Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 3850 Coconut Creek Pkwy Ste C, Coconut Creek, Florida |
| Authorized Official Name and Position | Raul Lizaso (OWNER) |
| Authorized Official Contact | 9549177600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctor's Dental Group 3850 Coconut Creek Pkwy Ste C Coconut Creek FL 33066-1600 Ph: (954) 917-7600 | Doctor's Dental Group 3850 Coconut Creek Pkwy Ste C Coconut Creek FL 33066-1600 Ph: (954) 917-7600 |
| NPI Number | 1588905384 |
|---|---|
| Provider Enumeration Date | 03/05/2013 |
| Last Update Date | 03/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588905384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 124Q00000X | Dental Hygienist | (* (Not Available)) | Secondary |
| 126800000X | Dental Assistant | (* (Not Available)) | Secondary |
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