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Organization

PINES PALM DENTAL

Active
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Organization

PINES PALM DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HILDA POVEDA (OFFICE MANAGER)
(954) 432-6222
Entity
Organization

Contact information

Practice address
9964 PINES BLVD, PEMBROKE PINES, FL 33024-6139
(954) 432-6222
Mailing address
9964 PINES BLVD, PEMBROKE PINES, FL 33024-6139
(954) 432-6222

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223E0200X
Endodontics
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—

Other

Enumeration date
11/02/2023
Last updated
11/02/2023
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