| Prophy One | |
|
8075 W Oakland Pk Blvd Sunrise FL 33351 | |
| (954) 533-9867 | |
| Not Available |
| Full Name | Prophy One |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8075 W Oakland Pk Blvd, Sunrise, Florida |
| Authorized Official Name and Position | David Roy Perez (DENTIST/ OWNER) |
| Authorized Official Contact | 9545339867 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prophy One 8075 W Oakland Pk Blvd Sunrise FL 33351 Ph: (954) 533-9867 | Prophy One 8075 W Oakland Pk Blvd Sunrise FL 33351 Ph: (954) 533-9867 |
| NPI Number | 1184060642 |
|---|---|
| Provider Enumeration Date | 05/10/2013 |
| Last Update Date | 05/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184060642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN1211 (Florida) | Primary |
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