| Las Olas Dental Orthodontic And Implant Center | |
|
800 E Broward Blvd Ste 305 Fort Lauderdale FL 33301-2024 | |
| (954) 859-1199 | |
| Not Available |
| Full Name | Las Olas Dental Orthodontic And Implant Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 800 E Broward Blvd Ste 305, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Dennis Solomon Sevel (OWNER) |
| Authorized Official Contact | 9545996835 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Las Olas Dental Orthodontic And Implant Center 800 E Broward Blvd Ste 305 Fort Lauderdale FL 33301-2024 Ph: () - | Las Olas Dental Orthodontic And Implant Center 800 E Broward Blvd Ste 305 Fort Lauderdale FL 33301-2024 Ph: (954) 859-1199 |
| NPI Number | 1033768742 |
|---|---|
| Provider Enumeration Date | 09/05/2019 |
| Last Update Date | 09/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033768742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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