| Primary Dental Partners Pa | |
|
3039 Johnson Street Hollywood FL 33021 | |
| (954) 399-8039 | |
| Not Available |
| Full Name | Primary Dental Partners Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3039 Johnson Street, Hollywood, Florida |
| Authorized Official Name and Position | Eyad Shehadeh (DIRECTOR) |
| Authorized Official Contact | 9543998039 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Dental Partners Pa 3039 Johnson Street Hollywood FL 33021 Ph: (954) 399-8039 | Primary Dental Partners Pa 3039 Johnson Street Hollywood FL 33021 Ph: (954) 399-8039 |
| NPI Number | 1114509171 |
|---|---|
| Provider Enumeration Date | 04/28/2021 |
| Last Update Date | 09/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114509171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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