Organization · NPI-2

Advanced Dental Care Of Plantation

Dentist · Plantation, FL

NPI number1902173115
StatusActive
Last updated in NPPESNov 17, 2011

Details

NPI
1902173115
Entity type
Organization (NPI-2)
Legal business name
Advanced Dental Care Of Plantation
Organization subpart
No
Enumeration date
Nov 17, 2011
Last updated
Nov 17, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist––Yes

Practice location

4141 Nw 5th St
102
Plantation, FL 33317-2180

Phone 954-791-1220

Mailing address

4141 Nw 5th St
102
Plantation, FL 33317-2180

Authorized official

Mike Cole
Insurance Director
7277261611

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