| Lauderdale Dentistry For Kids Llc | |
|
4500 N State Road 7 Ste 101 Lauderdale Lakes FL 33319-5868 | |
| (954) 261-7551 | |
| Not Available |
| Full Name | Lauderdale Dentistry For Kids Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4500 N State Road 7 Ste 101, Lauderdale Lakes, Florida |
| Authorized Official Name and Position | David Tijerino (PRESIDENT) |
| Authorized Official Contact | 7866374844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lauderdale Dentistry For Kids Llc 4500 N State Road 7 Ste 101 Lauderdale Lakes FL 33319-5868 Ph: (954) 261-7551 | Lauderdale Dentistry For Kids Llc 4500 N State Road 7 Ste 101 Lauderdale Lakes FL 33319-5868 Ph: (954) 261-7551 |
| NPI Number | 1740756501 |
|---|---|
| Provider Enumeration Date | 10/19/2018 |
| Last Update Date | 11/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740756501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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