Organization · NPI-2

Allstar Dental INC

Dentist · Hollywood, FL

NPI number1205297488
StatusActive
Last updated in NPPESMar 15, 2016

Details

NPI
1205297488
Entity type
Organization (NPI-2)
Legal business name
Allstar Dental INC
Organization subpart
No
Enumeration date
Mar 15, 2016
Last updated
Mar 15, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistDN15093FLYes

Practice location

650 S Federal Hwy
Suite 2
Hollywood, FL 33020-5422

Phone 954-342-8315 · Fax 954-342-8317

Mailing address

650 S Federal Hwy
Suite 2
Hollywood, FL 33020-5422

Phone 954-342-8315 · Fax 954-342-8317

Authorized official

Svetlana Anokhina
President/Owner
9544578308

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