# 4350 DENTAL P A

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sheridan Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700127412
- **Authorized official:** PATRICIA M BOBADILLA (OWNER)
- **Authorized official phone:** (954) 964-4229

## Contact information

- **Practice address:** 4350 SHERIDAN ST, 201 E, HOLLYWOOD, FL 33021-3556
- **Practice address phone:** (954) 964-4229
- **Practice address fax:** (954) 653-0886
- **Mailing address:** 4350 SHERIDAN ST, 201 E, HOLLYWOOD, FL 33021-3556
- **Mailing address phone:** (954) 964-4229
- **Mailing address fax:** (954) 653-0886

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DN14173 | FL | Yes |

## Other

- **Enumeration date:** 03/05/2013
- **Last updated:** 03/05/2013