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Organization
TOTAL DENTAL CENTERS, PLLC
Active
Organization
TOTAL DENTAL CENTERS, PLLC
Active
Other names
Amicus Dental Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL RODRIGUEZ (ADMINSTRATOR)
(954) 505-3269
Entity
Organization
Contact information
Practice address
12169 PEMBROKE RD, PEMBROKE PINES, FL 33025-1727
(954) 505-3269
Mailing address
14201 W SUNRISE BLVD STE 207, SUNRISE, FL 33323-3207
(954) 505-5000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN21583
FL
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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