| Pembroke Dental Pllc | |
|
6905 W Broward Blvd Ste 101 Plantation FL 33317-2903 | |
| (954) 641-0414 | |
| (954) 641-0418 |
| Full Name | Pembroke Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6905 W Broward Blvd Ste 101, Plantation, Florida |
| Authorized Official Name and Position | James Kerns (OWNER) |
| Authorized Official Contact | 9549615858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pembroke Dental Pllc 6415 Pembroke Rd Hollywood FL 33023-2137 Ph: (954) 961-5858 | Pembroke Dental Pllc 6905 W Broward Blvd Ste 101 Plantation FL 33317-2903 Ph: (954) 641-0414 |
| NPI Number | 1952632192 |
|---|---|
| Provider Enumeration Date | 01/28/2010 |
| Last Update Date | 01/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952632192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN17150 (Florida) | Primary |
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