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7228 W Oakland Park Blvd Lauderhill FL 33313-1041 | |
| (954) 748-4860 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 7228 W Oakland Park Blvd, Lauderhill, Florida |
| Authorized Official Name and Position | Mitchell J Klein (DENTIST) |
| Authorized Official Contact | 9547484860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7228 W Oakland Park Blvd Lauderhill FL 33313-1041 Ph: (954) 748-4860 | 7228 W Oakland Park Blvd Lauderhill FL 33313-1041 Ph: (954) 748-4860 |
| NPI Number | 1093872152 |
|---|---|
| Provider Enumeration Date | 01/01/2007 |
| Last Update Date | 06/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093872152 | NPI | - | NPPES |
| 071583203 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 13381 (Florida) | Primary |
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