| Gd Fl Ddp Pllc | |
|
10019 Cleary Blvd Plantation FL 33324-1000 | |
| (954) 473-6400 | |
| Not Available |
| Full Name | Gd Fl Ddp Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10019 Cleary Blvd, Plantation, Florida |
| Authorized Official Name and Position | Chad Hendricks (CREDENTIALING) |
| Authorized Official Contact | 6128590444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gd Fl Ddp Pllc 10019 Cleary Blvd Plantation FL 33324-1000 Ph: (954) 473-6400 | Gd Fl Ddp Pllc 10019 Cleary Blvd Plantation FL 33324-1000 Ph: (954) 473-6400 |
| NPI Number | 1003536459 |
|---|---|
| Provider Enumeration Date | 08/29/2022 |
| Last Update Date | 08/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003536459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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