| Lauderhill Mall Dental, Pa | |
|
1249 Nw 40th Ave Lauderhill FL 33313-5801 | |
| (954) 584-2214 | |
| Not Available |
| Full Name | Lauderhill Mall Dental, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1249 Nw 40th Ave, Lauderhill, Florida |
| Authorized Official Name and Position | Rostislav Krasnov (OWNER) |
| Authorized Official Contact | 9545842214 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lauderhill Mall Dental, Pa 1249 Nw 40th Ave Lauderhill FL 33313-5801 Ph: () - | Lauderhill Mall Dental, Pa 1249 Nw 40th Ave Lauderhill FL 33313-5801 Ph: (954) 584-2214 |
| NPI Number | 1285310011 |
|---|---|
| Provider Enumeration Date | 06/26/2023 |
| Last Update Date | 06/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285310011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Tomlinson Dental Care, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7548 W Commercial Blvd, Lauderhill, FL 33319 Phone: 954-747-8649 Fax: 954-747-6102 | |
Gorfien And Jacobsohn Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5001 North University Dr, Lauderhill, FL 33351 Phone: 954-742-0201 Fax: 954-572-7784 | |