| Lauderhill Childrens Dental Llc | |
|
1249 N State Road 7 Lauderhill FL 33313-5801 | |
| (954) 584-2214 | |
| (954) 584-2254 |
| Full Name | Lauderhill Childrens Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 1249 N State Road 7, Lauderhill, Florida |
| Authorized Official Name and Position | Aisha Mccoy (OFFICE MANAGER) |
| Authorized Official Contact | 9545842214 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lauderhill Childrens Dental Llc 1249 N State Road 7 Lauderhill FL 33313-5801 Ph: (954) 584-2214 | Lauderhill Childrens Dental Llc 1249 N State Road 7 Lauderhill FL 33313-5801 Ph: (954) 584-2214 |
| NPI Number | 1295368702 |
|---|---|
| Provider Enumeration Date | 02/13/2020 |
| Last Update Date | 02/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295368702 | NPI | - | NPPES |
| 01328909 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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