# LUZARDO DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** My Tamarac Dentist
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598361115
- **Authorized official:** DR. FLOR LUZARDO DDS (DENTIST)
- **Authorized official phone:** (786) 451-9171

## Contact information

- **Practice address:** 6933 W COMMERCIAL BLVD, LAUDERHILL, FL 33319-2119
- **Practice address phone:** (954) 724-8486
- **Mailing address:** 7940 SW 163RD PL, MIAMI, FL 33193-3427
- **Mailing address phone:** (305) 890-3180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/09/2020
- **Last updated:** 12/11/2020
