TARPON RIVER DENTAL, P.A.

FORT LAUDERDALE, FL
NPI1134762818
Entity TypeOrganization
Authorized ContactMARIEL PETRUK
Owner
954-663-2582
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2019-10-24
Last Update Date2019-10-24
Business Address
TARPON RIVER DENTAL, P.A.
416 SE 11TH CT
FORT LAUDERDALE, FL 33316-1144
Phone number: 954-663-2582
Mailing Address
TARPON RIVER DENTAL, P.A.
416 SE 11TH CT
FORT LAUDERDALE, FL 33316-1144
Phone number: 954-663-2582
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