| 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 |
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