Gentle Teeth And Braces Of Weston | |
2751 Executive Park Dr Ste 204 Weston FL 33331-3661 | |
(954) 217-0288 | |
Not Available |
Full Name | Gentle Teeth And Braces Of Weston |
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Speciality | Clinic/center - Dental |
Location | 2751 Executive Park Dr Ste 204, Weston, Florida |
Authorized Official Name and Position | Chandy Samuel (OWNER) |
Authorized Official Contact | 9542170288 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gentle Teeth And Braces Of Weston 2751 Executive Park Dr Ste 204 Weston FL 33331-3661 Ph: (954) 217-0288 | Gentle Teeth And Braces Of Weston 2751 Executive Park Dr Ste 204 Weston FL 33331-3661 Ph: (954) 217-0288 |
NPI Number | 1679110100 |
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Provider Enumeration Date | 12/03/2019 |
Last Update Date | 12/03/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679110100 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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