FL SOUTHERN DENTAL PPO PA

WELLINGTON, FL
NPI1437043536
Doing Business AsWELLINGTON SMILES
Entity TypeOrganization
Authorized ContactERIKA MELISSA MENJIVAR
Sr. Credentialing Specialist
469-596-6137
Organization Subpart ?Yes
Primary Taxonomy122300000X Dentist
Enumeration Date2025-06-04
Last Update Date2025-06-06
Business Address
FL SOUTHERN DENTAL PPO PA
12788 FOREST HILL BLVD STE 2001
WELLINGTON, FL 33414-4703
Phone number: 561-798-8023
Mailing Address
FL SOUTHERN DENTAL PPO PA
5830 GRANITE PKWY STE 780
PLANO, TX 75024-6775
Phone number: