| Nova Dental Inc | |
|
1501 Se 23rd Ave Pompano Beach FL 33062-7507 | |
| (954) 825-9128 | |
| Not Available |
| Full Name | Nova Dental Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1501 Se 23rd Ave, Pompano Beach, Florida |
| Authorized Official Name and Position | Santiago Roldan (OWNER) |
| Authorized Official Contact | 9548259128 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Dental Inc 1501 Se 23rd Ave Pompano Beach FL 33062-7507 Ph: (954) 825-9128 | Nova Dental Inc 1501 Se 23rd Ave Pompano Beach FL 33062-7507 Ph: (954) 825-9128 |
| NPI Number | 1730535345 |
|---|---|
| Provider Enumeration Date | 05/12/2016 |
| Last Update Date | 05/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730535345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN15793 (Florida) | Primary |
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