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Organization
PEMBROKE PINES DENTAL HEALTH CENTER, PA
Active
Organization
PEMBROKE PINES DENTAL HEALTH CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN VICTOR SOOTIN D.D.S. (OWNER)
(954) 437-2040
Entity
Organization
Contact information
Practice address
1851 NW 125TH AVE, #170, PEMBROKE PINES, FL 33028-2596
(954) 437-2040
(954) 437-4573
Mailing address
1851 NW 125 AVE, #170, PEMBROKE PINES, FL 33028
(954) 437-2040
(954) 437-4573
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN 16213
FL
Other
Enumeration date
01/05/2007
Last updated
08/22/2020
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