| NPI | 1972522944 |
|---|---|
| Doing Business As | DENTAL SPECIALTY CENTER OF PEMBROKE PINES |
| Entity Type | Organization |
| Authorized Contact | MARC COWAN President 954-432-7025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL 7432) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: FL 9476) |
| 1223P0300X Dentist, Periodontics (Licence: FL 11402) | |
| 1223P0300X Dentist, Periodontics (Licence: FL 17373) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL 9783) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL 16125) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2008-06-16 |