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Organization
PEMBROKE DENTAL PLLC
Active
Organization
PEMBROKE DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES KERNS JR. DMD (OWNER)
(954) 961-5858
Entity
Organization
Contact information
Practice address
6905 W BROWARD BLVD STE 101, PLANTATION, FL 33317-2903
(954) 641-0414
(954) 641-0418
Mailing address
6415 PEMBROKE RD, HOLLYWOOD, FL 33023-2137
(954) 961-5858
(954) 961-6267
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN17150
FL
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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