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5537 W Oakland Park Blvd Suite B Lauderhill FL 33313 | |
| (954) 739-9577 | |
| (954) 739-9616 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5537 W Oakland Park Blvd, Lauderhill, Florida |
| Authorized Official Name and Position | Ronia Baker (OWNER) |
| Authorized Official Contact | 9547399577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5537 W Oakland Park Blvd Suite B Lauderhill FL 33313-1411 Ph: (954) 739-9577 | 5537 W Oakland Park Blvd Suite B Lauderhill FL 33313 Ph: (954) 739-9577 |
| NPI Number | 1447585328 |
|---|---|
| Provider Enumeration Date | 10/09/2009 |
| Last Update Date | 10/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447585328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN-16129 (Florida) | Primary |
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