Premier Dental Group Of Hallandale | |
1701 E Hallandale Beach Blvd Hallandale Beach FL 33009-4621 | |
(954) 458-4584 | |
(954) 458-4078 |
Full Name | Premier Dental Group Of Hallandale |
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Speciality | Dentist - General Practice |
Location | 1701 E Hallandale Beach Blvd, Hallandale Beach, Florida |
Authorized Official Name and Position | Carlos Maza (CEO) |
Authorized Official Contact | 9544584584 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Premier Dental Group Of Hallandale 1701 East Hallandle Beach Blvd Hallandale FL 33009-4621 Ph: (954) 458-4584 | Premier Dental Group Of Hallandale 1701 E Hallandale Beach Blvd Hallandale Beach FL 33009-4621 Ph: (954) 458-4584 |
NPI Number | 1013267145 |
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Provider Enumeration Date | 09/17/2012 |
Last Update Date | 09/17/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013267145 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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