| Shalom Sunset Dental Care Llc | |
|
6491 Sunset Strip Sutie #1 Sunrise FL 33313 | |
| (954) 572-1801 | |
| (954) 333-7561 |
| Full Name | Shalom Sunset Dental Care Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6491 Sunset Strip, Sunrise, Florida |
| Authorized Official Name and Position | Blanca Mairenysc Castello Polo (OWNER) |
| Authorized Official Contact | 9545804367 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shalom Sunset Dental Care Llc 6491 Sunset Strip Sutie #1 Sunrise FL 33313 Ph: (954) 572-1801 | Shalom Sunset Dental Care Llc 6491 Sunset Strip Sutie #1 Sunrise FL 33313 Ph: (954) 572-1801 |
| NPI Number | 1043661796 |
|---|---|
| Provider Enumeration Date | 06/23/2016 |
| Last Update Date | 06/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043661796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN20938 (Florida) | Primary |
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