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Organization
4350 DENTAL P A
Active
Organization
4350 DENTAL P A
Active
Other names
Sheridan Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA M BOBADILLA (OWNER)
(954) 964-4229
Entity
Organization
Contact information
Practice address
4350 SHERIDAN ST, 201 E, HOLLYWOOD, FL 33021-3556
(954) 964-4229
(954) 653-0886
Mailing address
4350 SHERIDAN ST, 201 E, HOLLYWOOD, FL 33021-3556
(954) 964-4229
(954) 653-0886
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN14173
FL
Other
Enumeration date
03/05/2013
Last updated
03/05/2013
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