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Organization
TAMARAC FAMILY DENTAL PA
Active
Organization
TAMARAC FAMILY DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEJANDRO SAN JORGE DDS (DENTIST/OWNER)
(786) 853-5510
Entity
Organization
Contact information
Practice address
7351 W OAKLAND PARK BLVD, SUITE 102, TAMARAC, FL 33319-7107
(954) 742-5055
(954) 742-5341
Mailing address
7351 W OAKLAND PARK BLVD, SUITE 102, TAMARAC, FL 33319-7107
(954) 742-5055
(954) 742-5341
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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