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Organization
POMPANO BEACH DENTAL
Active
Organization
POMPANO BEACH DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMISHA DENIS DMD (OWNER - PRESIDENT)
(954) 752-4450
Entity
Organization
Contact information
Practice address
10196 W SAMPLE RD, CORAL SPRINGS, FL 33065-3938
(954) 752-4450
Mailing address
2000 N FEDERAL HWY, SUITE 202, POMPANO BEACH, FL 33062-1022
(954) 782-6800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19141
FL
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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