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1982715405
BERTRAM IVAN MOLDAUER
DAVIE, FL
NPI
1982715405
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223E0200X Dentist, Endodontics
(Licence: FL DN16998)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
Dr. BERTRAM IVAN MOLDAUER DDS; MS
3200 S UNIVERSITY DR
DAVIE, FL 33328-2018
Phone number: 954-262-7390
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Mailing Address
Dr. BERTRAM IVAN MOLDAUER DDS; MS
3200 S UNIVERSITY DR
DAVIE, FL 33328-2018
Phone number: 954-262-7390
Copy
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