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Organization
VITAL DENTAL CENTER OF HOLLYWOOD
Active
Organization
VITAL DENTAL CENTER OF HOLLYWOOD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN A MAYA (OWNER)
(954) 961-1900
Entity
Organization
Contact information
Practice address
4310 SHERIDAN ST STE 201A, HOLLYWOOD, FL 33021-3554
(954) 961-1900
(954) 947-7718
Mailing address
4310 SHERIDAN ST STE 201A, HOLLYWOOD, FL 33021-3554
(954) 961-1900
(954) 947-7718
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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