| Innovation Dental | |
|
6180 W Sample Rd Ste 109 Coral Springs FL 33067-3274 | |
| (954) 227-2718 | |
| Not Available |
| Full Name | Innovation Dental |
|---|---|
| Speciality | Dentist |
| Location | 6180 W Sample Rd Ste 109, Coral Springs, Florida |
| Authorized Official Name and Position | Yajaira I Torres (OFFICE MANAGER) |
| Authorized Official Contact | 9542272718 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovation Dental 6180 W Sample Rd Ste 109 Coral Springs FL 33067-3274 Ph: (954) 227-2718 | Innovation Dental 6180 W Sample Rd Ste 109 Coral Springs FL 33067-3274 Ph: (954) 227-2718 |
| NPI Number | 1821433111 |
|---|---|
| Provider Enumeration Date | 05/01/2013 |
| Last Update Date | 05/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821433111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN19057 (Florida) | Primary |
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