| Florida Dental Studio, Pa | |
|
2701 Ne 14th Street Cswy Ste 4 Pompano Beach FL 33062-3535 | |
| (754) 205-4900 | |
| (754) 205-4799 |
| Full Name | Florida Dental Studio, Pa |
|---|---|
| Speciality | Dentist |
| Location | 2701 Ne 14th Street Cswy Ste 4, Pompano Beach, Florida |
| Authorized Official Name and Position | Lazaro Gavilla (PRESIDENT) |
| Authorized Official Contact | 3055863767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Dental Studio, Pa 2701 Ne 14th Street Cswy Ste 4 Pompano Beach FL 33062-3535 Ph: (754) 205-4900 | Florida Dental Studio, Pa 2701 Ne 14th Street Cswy Ste 4 Pompano Beach FL 33062-3535 Ph: (754) 205-4900 |
| NPI Number | 1760172852 |
|---|---|
| Provider Enumeration Date | 05/11/2023 |
| Last Update Date | 05/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760172852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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