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Organization
SUMMIT DENTAL CENTER, PA
Active
Organization
SUMMIT DENTAL CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN R ELYSEE DDS (DIRECTOR)
(954) 561-6675
Entity
Organization
Contact information
Practice address
3913 N ANDREWS AVE, OAKLAND PARK, FL 33309-5239
(954) 561-6675
(954) 630-2017
Mailing address
3913 N ANDREWS AVE, OAKLAND PARK, FL 33309-5239
(954) 561-6675
(954) 630-2017
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN0014412
FL
Other
Enumeration date
11/03/2006
Last updated
02/06/2008
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