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Organization
SYNERGY AESTHETIC DENTAL CORP
Active
Organization
SYNERGY AESTHETIC DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA BOBADILLA (OWNER/DENTIST)
(954) 894-2121
Entity
Organization
Contact information
Practice address
2301 N UNIVERSITY DR STE 209, PEMBROKE PINES, FL 33024-3617
(954) 894-2121
Mailing address
2301 N UNIVERSITY DR STE 209, PEMBROKE PINES, FL 33024-3617
(954) 894-2121
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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