Organization · NPI-2

Advanced Dental LLC

Dentist, General Practice · Hollywood, FL

NPI number1831955426
StatusActive
Last updated in NPPESFeb 22, 2024

Details

NPI
1831955426
Entity type
Organization (NPI-2)
Legal business name
Advanced Dental LLC
Organization subpart
No
Enumeration date
Feb 22, 2024
Certification date
Feb 22, 2024
Last updated
Feb 22, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Other names

  • Upper Dental (Doing Business As)

Practice location

3595 Sheridan St Ste 103
Hollywood, FL 33021-3657

Phone 954-982-8505

Mailing address

3595 Sheridan St Ste 103
Hollywood, FL 33021-3657

Phone 954-982-8505

Authorized official

Marcelo H Olsak
Owner
9549828505

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