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Organization
LIFESTYLE DENTAL CARE PLLC
Active
Organization
LIFESTYLE DENTAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIPPE JEAN DDS (OWNER)
(954) 669-1313
Entity
Organization
Contact information
Practice address
386 N ROCK ISLAND RD, MARGATE, FL 33063-4914
(202) 681-4841
Mailing address
2021 NW 136TH AVE APT 597, SUNRISE, FL 33323-5381
(516) 554-7017
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/22/2019
Last updated
09/18/2019
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