Plantation Park Dental Associates | |
7420 Nw 5th St Ste 101 Plantation FL 33317-1611 | |
(954) 791-0330 | |
(954) 791-0377 |
Full Name | Plantation Park Dental Associates |
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Speciality | Dentist - General Practice |
Location | 7420 Nw 5th St Ste 101, Plantation, Florida |
Authorized Official Name and Position | Philip A Pine (OWNER/DENTIST) |
Authorized Official Contact | 9547910330 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Plantation Park Dental Associates 7420 Nw 5th St Ste 101 Plantation FL 33317-1611 Ph: (954) 791-0330 | Plantation Park Dental Associates 7420 Nw 5th St Ste 101 Plantation FL 33317-1611 Ph: (954) 791-0330 |
NPI Number | 1063720795 |
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Provider Enumeration Date | 09/15/2010 |
Last Update Date | 09/15/2010 |
Identifier | Type | State | Issuer |
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1063720795 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DN10126 (Florida) | Primary |
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