Aa Dental PLLC
Clinic/Center, Dental in Fort Lauderdale, FL. Organization (NPI-2).
NPI number1508104597
StatusActive
Last updated in NPPESJan 25, 2013
Details
- NPI
- 1508104597
- Entity type
- Organization (NPI-2)
- Legal business name
- Aa Dental PLLC
- Organization subpart
- No
- Enumeration date
- Jan 25, 2013
- Last updated
- Jan 25, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | DN18817 | FL | Yes |
| 261QD0000X | Clinic/Center, Dental | DN16636 | FL |
Practice location
113 Sw 11th CtSuite A
Fort Lauderdale, FL 33315-1271
Phone 954-463-7972 · Fax 954-764-5916
Mailing address
113 Sw 11 CtSuite A
Fort Lauderdale, FL 33315
Phone 954-463-7972 · Fax 954-764-5916
Authorized official
Allison Alexander
Dentist/ Owner
9544637972
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