| Pediatric Dental Services | |
|
6775 Sunset Strip Sunrise FL 33313-2849 | |
| (954) 572-1500 | |
| (954) 572-8501 |
| Full Name | Pediatric Dental Services |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 6775 Sunset Strip, Sunrise, Florida |
| Authorized Official Name and Position | Olga Elaine Koerner (OFFICE MANAGER) |
| Authorized Official Contact | 9545721500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Services 6775 Sunset Strip Sunrise FL 33313 Ph: (954) 572-1500 | Pediatric Dental Services 6775 Sunset Strip Sunrise FL 33313-2849 Ph: (954) 572-1500 |
| NPI Number | 1043360621 |
|---|---|
| Provider Enumeration Date | 01/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043360621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN3078 (Florida) | Primary |
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