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Organization
PRIMARY DENTAL PARTNERS PA
Active
Organization
PRIMARY DENTAL PARTNERS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EYAD SHEHADEH DDS (DIRECTOR)
(954) 399-8039
Entity
Organization
Contact information
Practice address
3039 JOHNSON STREET, HOLLYWOOD, FL 33021
(954) 399-8039
Mailing address
3039 JOHNSON STREET, HOLLYWOOD, FL 33021
(954) 399-8039
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
04/28/2021
Last updated
09/25/2023
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