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Organization
LAUDERDALE DENTISTRY FOR KIDS LLC
Active
Organization
LAUDERDALE DENTISTRY FOR KIDS LLC
Active
Other names
Lauderdale Dentistry For Kids LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID TIJERINO DDS (PRESIDENT)
(786) 637-4844
Entity
Organization
Contact information
Practice address
4500 N STATE ROAD 7 STE 101, LAUDERDALE LAKES, FL 33319-5868
(954) 261-7551
Mailing address
4500 N STATE ROAD 7 STE 101, LAUDERDALE LAKES, FL 33319-5868
(954) 261-7551
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/19/2018
Last updated
11/16/2018
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