Hollywood Oral Surgery, Pllc | |
4420 Sheridan St Hollywood FL 33021-3552 | |
(954) 792-5544 | |
(954) 587-6442 |
Full Name | Hollywood Oral Surgery, Pllc |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 4420 Sheridan St, Hollywood, Florida |
Authorized Official Name and Position | Joel A Berley (OWNER) |
Authorized Official Contact | 9547925544 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hollywood Oral Surgery, Pllc 7500 Nw 5th St Ste 105 Plantation FL 33317-1612 Ph: (954) 792-5544 | Hollywood Oral Surgery, Pllc 4420 Sheridan St Hollywood FL 33021-3552 Ph: (954) 792-5544 |
NPI Number | 1497228001 |
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Provider Enumeration Date | 01/07/2019 |
Last Update Date | 01/07/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497228001 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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