PEMBROKE LAKES MALL DENTAL PA

PEMBROKE PINES, FL
NPI1144945882
Entity TypeOrganization
Authorized ContactROSTISLAV KRASNOV
Owner
954-573-1400
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2022-10-05
Last Update Date2022-10-12
Business Address
PEMBROKE LAKES MALL DENTAL PA
11401 PINES BLVD STE 220
PEMBROKE PINES, FL 33026-4104
Phone number: 954-573-1400
Mailing Address
PEMBROKE LAKES MALL DENTAL PA
11401 PINES BLVD STE 220
PEMBROKE PINES, FL 33026-4104
Phone number:
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