| Michel Matouk, Md.,dds.,pa | |
|
2600 East Commercial Blvd Suite 200 Fort Lauderdale FL 33308 | |
| (954) 566-0300 | |
| (954) 566-9066 |
| Full Name | Michel Matouk, Md.,dds.,pa |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2600 East Commercial Blvd, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Michel Matouk (ORAL SURGEON) |
| Authorized Official Contact | 9545660300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michel Matouk, Md.,dds.,pa 2600 East Commercial Blvd Suite 200 Fort Lauderdale FL 33308 Ph: (954) 566-0300 | Michel Matouk, Md.,dds.,pa 2600 East Commercial Blvd Suite 200 Fort Lauderdale FL 33308 Ph: (954) 566-0300 |
| NPI Number | 1730241654 |
|---|---|
| Provider Enumeration Date | 12/15/2006 |
| Last Update Date | 02/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730241654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN15692 (Florida) | Primary |
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