Fort Lauderdale Galleria Dental Implant And Orthodontic Center
Dentist, General Practice in Fort Lauderdale, FL. Organization (NPI-2).
NPI number1669964276
StatusActive
Last updated in NPPESMay 31, 2018
Details
- NPI
- 1669964276
- Entity type
- Organization (NPI-2)
- Legal business name
- Fort Lauderdale Galleria Dental Implant And Orthodontic Center
- Organization subpart
- No
- Enumeration date
- May 31, 2018
- Last updated
- May 31, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
2300 Ne 9th StFort Lauderdale, FL 33304-3579
Phone 954-566-1281
Mailing address
2300 Ne 9th StFort Lauderdale, FL 33304-3579
Phone 954-566-1281
Authorized official
Dennis Sevel
Owner
9545661281
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