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Organization
THE DENTAL GROUP LLC
Active
Organization
THE DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT RODRIGUEZ (CEO)
(772) 204-3529
Entity
Organization
Contact information
Practice address
2826 E OAKLAND PARK BLVD STE 300, FORT LAUDERDALE, FL 33306-1800
(954) 776-4720
Mailing address
2826 E OAKLAND PARK BLVD STE 220, FORT LAUDERDALE, FL 33306-1800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/16/2021
Last updated
08/24/2021
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