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Organization
LAGUNA ISLES DENTAL, LLC
Active
Organization
LAGUNA ISLES DENTAL, LLC
Active
Other names
Laguna Isles Dental Associates, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONEEZE MUJTABA D.D.S. (DENTIST)
(954) 680-5552
Entity
Organization
Contact information
Practice address
19551 SHERIDAN STREET, PEMBROKE PINES, FL 33332
(954) 680-5552
(954) 680-1808
Mailing address
19551 SHERIDAN STREET, PEMBROKE PINES, FL 33332
(954) 680-5552
(954) 680-1808
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
FL
1223G0001X
General Practice Dentistry
DN10651
FL
1223G0001X
General Practice Dentistry
DN17384
FL
Other
Enumeration date
12/17/2008
Last updated
09/16/2009
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