Shalom Sunset Dental Care LLC
Dentist, General Practice in Sunrise, FL. Organization (NPI-2).
NPI number1043661796
StatusActive
Last updated in NPPESJun 23, 2016
Details
- NPI
- 1043661796
- Entity type
- Organization (NPI-2)
- Legal business name
- Shalom Sunset Dental Care LLC
- Organization subpart
- No
- Enumeration date
- Jun 23, 2016
- Last updated
- Jun 23, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DN20938 | FL | Yes |
Practice location
6491 Sunset StripSutie #1
Sunrise, FL 33313
Phone 954-572-1801 · Fax 954-333-7561
Mailing address
6491 Sunset StripSutie #1
Sunrise, FL 33313
Phone 954-572-1801 · Fax 954-333-7561
Authorized official
Blanca Mairenysc Castello Polo
Owner
9545804367
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