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Organization
THE DENTAL GROUP
Active
Organization
THE DENTAL GROUP
Active
Other names
The Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY A RODRIGUEZ-MARTIN D.M.D. (OWNER)
(954) 485-1170
Entity
Organization
Contact information
Practice address
2609 W OAKLAND PARK BLVD, OAKLAND PARK, FL 33311-1355
(954) 485-1170
(954) 485-5820
Mailing address
2609 W OAKLAND PARK BLVD, OAKLAND PARK, FL 33311-1355
(954) 485-1170
(954) 485-5820
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN15860
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN15860
LICENSCE NUMBER
FL
Enumeration date
03/29/2010
Last updated
03/29/2010
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