# MY DENTIST FOR LIFE, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164668547
- **Authorized official:** DR. SABA MANZOOR RIZVI D.M.D. (PRESIDENT)
- **Authorized official phone:** (954) 432-3655

## Contact information

- **Practice address:** 294 NW 172ND AVE, PEMBROKE PINES, FL 33029-3196
- **Practice address phone:** (954) 432-3655
- **Practice address fax:** (954) 438-0334
- **Mailing address:** 294 NW 172ND AVE, PEMBROKE PINES, FL 33029-3196
- **Mailing address phone:** (954) 432-3655
- **Mailing address fax:** (954) 438-0334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DN15321 | FL | Yes |

## Other

- **Enumeration date:** 01/06/2009
- **Last updated:** 01/06/2009