| Hallandale Dental Group, Llc | |
|
200 E Hallandale Beach Blvd Hallandale Beach FL 33009-5525 | |
| (954) 718-3384 | |
| (561) 431-2468 |
| Full Name | Hallandale Dental Group, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 200 E Hallandale Beach Blvd, Hallandale Beach, Florida |
| Authorized Official Name and Position | Ingrid Johanna Romero (OWNER) |
| Authorized Official Contact | 9547183384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hallandale Dental Group, Llc 200 E Hallandale Beach Blvd Hallandale Beach FL 33009-5525 Ph: (954) 718-3384 | Hallandale Dental Group, Llc 200 E Hallandale Beach Blvd Hallandale Beach FL 33009-5525 Ph: (954) 718-3384 |
| NPI Number | 1568081909 |
|---|---|
| Provider Enumeration Date | 04/15/2020 |
| Last Update Date | 04/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568081909 | NPI | - | NPPES |
| 1972807204 | Other | FL | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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Janice Defelice Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 226 S Dixie Hwy, Hallandale Beach, FL 33009 Phone: 954-454-3883 Fax: 954-454-1901 | |
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Michael A. Simon, D.m.d. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 E Hallandale Beach Blvd, Suite 700, Hallandale Beach, FL 33009 Phone: 954-456-5400 Fax: 954-456-8278 |