| Regency Square Dental | |
|
4789 Sw 148th Ave Suite #205 Davie FL 33330-2119 | |
| (954) 252-5911 | |
| (954) 434-8075 |
| Full Name | Regency Square Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4789 Sw 148th Ave, Davie, Florida |
| Authorized Official Name and Position | Reinol Antonio Gonzalez (PRESIDENT) |
| Authorized Official Contact | 9542525911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regency Square Dental 4789 Sw 148th Ave Suite #205 Davie FL 33330-2119 Ph: (954) 252-5911 | Regency Square Dental 4789 Sw 148th Ave Suite #205 Davie FL 33330-2119 Ph: (954) 252-5911 |
| NPI Number | 1700949682 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 04/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700949682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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