Oasis Dental Associates PA
Dentist in Penbroke Pines, FL. Organization (NPI-2).
NPI number1932201142
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1932201142
- Entity type
- Organization (NPI-2)
- Legal business name
- Oasis Dental Associates PA
- Organization subpart
- No
- Enumeration date
- Sep 1, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
10796 Pines BlvdSuite 203
Penbroke Pines, FL 33026
Phone 954-499-1599 · Fax 954-499-5799
Mailing address
10796 Pines BlvdSuite 203
Penbroke Pines, FL 33026
Phone 954-499-1599 · Fax 954-499-5799
Authorized official
Michael Andrew Gorman
Co Owner Dentist
9544991599
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