| Pembroke Pines Family Dental Center | |
|
700 N. Hiatus Road Suite 201 Pembroke Pines FL 33026 | |
| (954) 436-3900 | |
| (954) 436-3628 |
| Full Name | Pembroke Pines Family Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 700 N. Hiatus Road, Pembroke Pines, Florida |
| Authorized Official Name and Position | Delroy W. Webb (OWNER PRESIDENT) |
| Authorized Official Contact | 9544363900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pembroke Pines Family Dental Center P.o. Box 260635 Pembroke Pines FL 33026 Ph: (954) 436-3900 | Pembroke Pines Family Dental Center 700 N. Hiatus Road Suite 201 Pembroke Pines FL 33026 Ph: (954) 436-3900 |
| NPI Number | 1619052404 |
|---|---|
| Provider Enumeration Date | 10/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619052404 | NPI | - | NPPES |
| 1881602415 | Other | FL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9016 (Florida) | Primary |
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