| Pembroke Dental & Spa Pl | |
|
15671 Pines Blvd Pembroke Pines FL 33027-1204 | |
| (954) 419-4455 | |
| Not Available |
| Full Name | Pembroke Dental & Spa Pl |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15671 Pines Blvd, Pembroke Pines, Florida |
| Authorized Official Name and Position | Jeanette Novara (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7864883507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pembroke Dental & Spa Pl 21239 Ne 31st Ave Aventura FL 33180-3907 Ph: () - | Pembroke Dental & Spa Pl 15671 Pines Blvd Pembroke Pines FL 33027-1204 Ph: (954) 419-4455 |
| NPI Number | 1659936656 |
|---|---|
| Provider Enumeration Date | 05/06/2019 |
| Last Update Date | 05/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659936656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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