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Organization
POMPANO DENTAL CLINIC, INC
Active
Organization
POMPANO DENTAL CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KAREN HIBBERT (OFFICE MANAGER)
(954) 979-3515
Entity
Organization
Contact information
Practice address
2716 W ATLANTIC BLVD, POMPANO BEACH, FL 33069-2551
(954) 979-3515
(954) 979-6609
Mailing address
2716 W ATLANTIC BLVD, POMPANO BEACH, FL 33069-2551
(954) 979-3515
(954) 979-6609
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071288400
—
FL
Enumeration date
08/27/2006
Last updated
10/07/2008
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