Id Iii, Llc | |
4719 N Ocean Dr Lauderdale By The Sea FL 33308-2914 | |
(954) 933-5937 | |
Not Available |
Full Name | Id Iii, Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 4719 N Ocean Dr, Lauderdale By The Sea, Florida |
Authorized Official Name and Position | Italo Lozada (PRESIDENT) |
Authorized Official Contact | 6177806312 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Id Iii, Llc 4719 N Ocean Dr Lauderdale By The Sea FL 33308-2914 Ph: (954) 933-5937 | Id Iii, Llc 4719 N Ocean Dr Lauderdale By The Sea FL 33308-2914 Ph: (954) 933-5937 |
NPI Number | 1881365930 |
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Provider Enumeration Date | 09/27/2021 |
Last Update Date | 09/27/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881365930 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Sierra Dental Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4001 N Ocean Dr, Suite #202, Lauderdale By The Sea, FL 33308 Phone: 954-351-6980 Fax: 954-351-7927 | |
Michael A. Abraham D.m.d., Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4719 N Ocean Dr, Lauderdale By The Sea, FL 33308 Phone: 303-819-6371 | |
Arguello Dentistry By The Sea Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 236 Commercial Blvd, Lauderdale By The Sea, FL 33308 Phone: 954-568-8928 |