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Organization
AMAZING DENTAL L.L.C.
Active
Organization
AMAZING DENTAL L.L.C.
Active
Parent organization
AMAZING DENTAL L.L.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMAZING DENTAL L.L.C.
Authorized official
MARY CECILIA CROSBY D.D.S. (PRESIDENT)
(954) 544-2814
Entity
Organization
Contact information
Practice address
5740 HOLLYWOOD BLVD, SUITE# 400, HOLLYWOOD, FL 33021-6357
(954) 544-2814
(954) 544-2913
Mailing address
5740 HOLLYWOOD BLVD, SUITE# 400, HOLLYWOOD, FL 33021-6357
(954) 544-2814
(954) 544-2913
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/12/2015
Last updated
10/12/2015
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