| Laguna Isles Dental, Llc | |
|
19551 Sheridan Street Pembroke Pines FL 33332 | |
| (954) 680-5552 | |
| (954) 680-1808 |
| Full Name | Laguna Isles Dental, Llc |
|---|---|
| Speciality | Dentist |
| Location | 19551 Sheridan Street, Pembroke Pines, Florida |
| Authorized Official Name and Position | Moneeze Mujtaba (DENTIST) |
| Authorized Official Contact | 9546805552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laguna Isles Dental, Llc 19551 Sheridan Street Pembroke Pines FL 33332 Ph: (954) 680-5552 | Laguna Isles Dental, Llc 19551 Sheridan Street Pembroke Pines FL 33332 Ph: (954) 680-5552 |
| NPI Number | 1568608875 |
|---|---|
| Provider Enumeration Date | 12/17/2008 |
| Last Update Date | 09/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568608875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Florida) | Primary |
| 1223G0001X | Dentist - General Practice | DN17384 (Florida) | Secondary |
| 1223G0001X | Dentist - General Practice | DN10651 (Florida) | Secondary |
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