| Pompano Dental Clinic, Inc | |
|
2716 W Atlantic Blvd Pompano Beach FL 33069-2551 | |
| (954) 979-3515 | |
| (954) 979-6609 |
| Full Name | Pompano Dental Clinic, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2716 W Atlantic Blvd, Pompano Beach, Florida |
| Authorized Official Name and Position | Karen Hibbert (OFFICE MANAGER) |
| Authorized Official Contact | 9549793515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pompano Dental Clinic, Inc 2716 W Atlantic Blvd Pompano Beach FL 33069-2551 Ph: (954) 979-3515 | Pompano Dental Clinic, Inc 2716 W Atlantic Blvd Pompano Beach FL 33069-2551 Ph: (954) 979-3515 |
| NPI Number | 1265540579 |
|---|---|
| Provider Enumeration Date | 08/27/2006 |
| Last Update Date | 10/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265540579 | NPI | - | NPPES |
| 071288400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Florida) | Primary |
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