| South Dental Of Pembroke | |
|
601 Nw 179th Ave Suite 101 Pembroke Pines FL 33029-2819 | |
| (954) 450-1303 | |
| (954) 450-5568 |
| Full Name | South Dental Of Pembroke |
|---|---|
| Speciality | Dentist |
| Location | 601 Nw 179th Ave, Pembroke Pines, Florida |
| Authorized Official Name and Position | Jahn Oppenheimer (OWNER) |
| Authorized Official Contact | 3053887599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Dental Of Pembroke 601 Nw 179th Ave Suite 101 Pembroke Pines FL 33029-2819 Ph: (954) 450-1303 | South Dental Of Pembroke 601 Nw 179th Ave Suite 101 Pembroke Pines FL 33029-2819 Ph: (954) 450-1303 |
| NPI Number | 1992968721 |
|---|---|
| Provider Enumeration Date | 07/02/2008 |
| Last Update Date | 07/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992968721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 13563 (Florida) | Primary |
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