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Organization
SUNRISE FAMILY DENTISTRY
Active
Organization
SUNRISE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILYA STEIN DMD (P)
(954) 900-2059
Entity
Organization
Contact information
Practice address
10108 W OKLND PK BLVD, SUNRISE, FL 33351-6963
(954) 900-2059
Mailing address
10108 W OKLND PK BLVD, SUNRISE, FL 33351-6963
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN14972
FL
Other
Enumeration date
03/05/2013
Last updated
03/05/2013
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