| Flamingo Dental Group | |
|
12129 Sheridan St Hollywood FL 33026-1400 | |
| (954) 433-1888 | |
| (954) 438-3560 |
| Full Name | Flamingo Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12129 Sheridan St, Hollywood, Florida |
| Authorized Official Name and Position | Charles Irving Shofnos (PRESIDNET) |
| Authorized Official Contact | 9544331888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Flamingo Dental Group 12129 Sheridan St Hollywood FL 33026-1400 Ph: (954) 433-1888 | Flamingo Dental Group 12129 Sheridan St Hollywood FL 33026-1400 Ph: (954) 433-1888 |
| NPI Number | 1053413831 |
|---|---|
| Provider Enumeration Date | 09/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053413831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN6140 (Florida) | Primary |
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