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Organization
TOWNCARE DENTAL OF PEMBROKE PINES, P.A.
Active
Organization
TOWNCARE DENTAL OF PEMBROKE PINES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE GOMEZ (PROVIDER RELATIONS SPECIALIST)
(305) 274-2499
Entity
Organization
Contact information
Practice address
600 N HIATUS RD, STE 103, PEMBROKE PINES, FL 33026-5207
(954) 430-2580
Mailing address
13195 SW 134TH ST FL 2, MIAMI, FL 33186-4461
(305) 274-2499
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/25/2012
Last updated
08/04/2014
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