| Silver Lakes Dental Associates, P.a. | |
|
17792 Sw 2nd St Pembroke Pines FL 33029-3923 | |
| (954) 435-2999 | |
| (954) 435-0011 |
| Full Name | Silver Lakes Dental Associates, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 17792 Sw 2nd St, Pembroke Pines, Florida |
| Authorized Official Name and Position | Keith Marlowe Friefeld (PRESIDENT) |
| Authorized Official Contact | 9544352999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Silver Lakes Dental Associates, P.a. 17792 Sw 2nd St Pembroke Pines FL 33029-3923 Ph: (954) 435-2999 | Silver Lakes Dental Associates, P.a. 17792 Sw 2nd St Pembroke Pines FL 33029-3923 Ph: (954) 435-2999 |
| NPI Number | 1801013339 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 08/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801013339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN11976 (Florida) | Primary |
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