Gen2dentistry PA
Dentist, General Practice in Davie, FL. Organization (NPI-2).
NPI number1962236232
StatusActive
Last updated in NPPESAug 29, 2024
Details
- NPI
- 1962236232
- Entity type
- Organization (NPI-2)
- Legal business name
- Gen2dentistry PA
- Organization subpart
- No
- Enumeration date
- Aug 29, 2024
- Certification date
- Aug 29, 2024
- Last updated
- Aug 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
7780 Griffin Rd Ste 107Davie, FL 33328-3872
Phone 754-900-8846
Mailing address
7780 Griffin Rd Ste 107Davie, FL 33328-3872
Phone 754-900-8846
Authorized official
Paul A Garcia
Owner/General Dentist
9545473532
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