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1609062686
LAKES MALL DENTAL
PEMBROKE PINES, FL
NPI
1609062686
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Entity Type
Organization
Authorized Contact
RONALD L SLOANE
Owner
954-432-5515
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2007-09-24
Last Update Date
2007-09-24
Business Address
LAKES MALL DENTAL
11401 PINES BLVD STE 220
PEMBROKE PINES, FL 33026-4117
Phone number: 954-432-5515
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Mailing Address
LAKES MALL DENTAL
11401 PINES BLVD STE 220
PEMBROKE PINES, FL 33026-4117
Phone number: 954-432-5515
Copy
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