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Organization
SHALOM SUNSET DENTAL CARE LLC
Active
Organization
SHALOM SUNSET DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLANCA MAIRENYSC CASTELLO POLO DMD (OWNER)
(954) 580-4367
Entity
Organization
Contact information
Practice address
6491 SUNSET STRIP, SUTIE #1, SUNRISE, FL 33313
(954) 572-1801
(954) 333-7561
Mailing address
6491 SUNSET STRIP, SUTIE #1, SUNRISE, FL 33313
(954) 572-1801
(954) 333-7561
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN20938
FL
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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