1500 DENTAL LLC
Organization (NPI-2)
Active
Dentist, Periodontics
Provider Information
- NPI Number
1073002259- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1500 N FEDERAL HWY STE 250, FORT LAUDERDALE, FL, 333045603
- Phone
- (954) 715-1000
- Fax
- (954) 372-1000
Specialties & Taxonomies
Dentist
License: FL #DN14284
Dentist, Periodontics
Primary License: FL #DN16336