| Sunkidz Pediatric Dentistry Group Plantation Llc | |
|
9675 W Broward Blvd Plantation FL 33324-2321 | |
| (305) 310-6858 | |
| Not Available |
| Full Name | Sunkidz Pediatric Dentistry Group Plantation Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 9675 W Broward Blvd, Plantation, Florida |
| Authorized Official Name and Position | Rita Patel (DENTIST AND OWNER) |
| Authorized Official Contact | 3058005439 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunkidz Pediatric Dentistry Group Plantation Llc 691 Carrotwood Ter Plantation FL 33324-8223 Ph: (305) 310-6858 | Sunkidz Pediatric Dentistry Group Plantation Llc 9675 W Broward Blvd Plantation FL 33324-2321 Ph: (305) 310-6858 |
| NPI Number | 1497536221 |
|---|---|
| Provider Enumeration Date | 10/09/2023 |
| Last Update Date | 10/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497536221 | NPI | - | NPPES |
| 015581100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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