My Pompano Dentist | |
2700 Ne 14th Street Cswy Suite 105 Pompano Beach FL 33062-3561 | |
(954) 941-2412 | |
Not Available |
Full Name | My Pompano Dentist |
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Speciality | Dentist - General Practice |
Location | 2700 Ne 14th Street Cswy, Pompano Beach, Florida |
Authorized Official Name and Position | Joseph Thayil (OWNER) |
Authorized Official Contact | 9546556368 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
My Pompano Dentist 2700 Ne 14th Street Cswy Suite 105 Pompano Beach FL 33062-3561 Ph: (954) 941-2412 | My Pompano Dentist 2700 Ne 14th Street Cswy Suite 105 Pompano Beach FL 33062-3561 Ph: (954) 941-2412 |
NPI Number | 1881053247 |
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Provider Enumeration Date | 02/14/2016 |
Last Update Date | 02/14/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881053247 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DN18502 (Florida) | Primary |
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