| Sheridan Dental Center, Llc | |
|
5351 Sheridan St Hollywood FL 33021-3342 | |
| (954) 981-4107 | |
| (954) 981-2163 |
| Full Name | Sheridan Dental Center, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5351 Sheridan St, Hollywood, Florida |
| Authorized Official Name and Position | Pablo Enrique Leon (CO-OWNER) |
| Authorized Official Contact | 9549814107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sheridan Dental Center, Llc 5351 Sheridan St Hollywood FL 33021-3342 Ph: (954) 981-4107 | Sheridan Dental Center, Llc 5351 Sheridan St Hollywood FL 33021-3342 Ph: (954) 981-4107 |
| NPI Number | 1689053845 |
|---|---|
| Provider Enumeration Date | 05/21/2015 |
| Last Update Date | 05/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689053845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN0012238 (Florida) | Primary |
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