Marino Family Dental Llc | |
4506 N University Dr Lauderhill FL 33351-5740 | |
(954) 386-7500 | |
(954) 386-7777 |
Full Name | Marino Family Dental Llc |
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Speciality | Clinic/center - Dental |
Location | 4506 N University Dr, Lauderhill, Florida |
Authorized Official Name and Position | Anelisse Marino (OWNER) |
Authorized Official Contact | 8138339597 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Marino Family Dental Llc 2401 Nw 107th Ave Sunrise FL 33322-2528 Ph: (954) 386-7500 | Marino Family Dental Llc 4506 N University Dr Lauderhill FL 33351-5740 Ph: (954) 386-7500 |
NPI Number | 1336652858 |
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Provider Enumeration Date | 11/06/2017 |
Last Update Date | 11/06/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336652858 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | DN20192 (Florida) | Primary |
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