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Organization
SUPREME DENTAL CARE LLC
Active
Organization
SUPREME DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERGIO JACAS DMD (OWNER)
(954) 742-3550
Entity
Organization
Contact information
Practice address
4600 W COMMERCIAL BLVD STE 2, TAMARAC, FL 33319-3307
(954) 742-3550
Mailing address
7000 W OAKLAND PARK BLVD STE 301, LAUDERHILL, FL 33313-1016
(954) 742-3550
(954) 741-8965
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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