| Flamingo Commons Dental | |
|
12565 Orange Dr Suite 414 Davie FL 33330-4303 | |
| (954) 382-9696 | |
| (954) 382-9697 |
| Full Name | Flamingo Commons Dental |
|---|---|
| Speciality | Dentist |
| Location | 12565 Orange Dr, Davie, Florida |
| Authorized Official Name and Position | Oscar Gonzalez (OWNER) |
| Authorized Official Contact | 9543829696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Flamingo Commons Dental 12565 Orange Dr Suite 414 Davie FL 33330-4303 Ph: (954) 382-9696 | Flamingo Commons Dental 12565 Orange Dr Suite 414 Davie FL 33330-4303 Ph: (954) 382-9696 |
| NPI Number | 1609083542 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 09/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609083542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN15086 (Florida) | Primary |
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