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Organization
WEST SHERIDAN DENTAL LLC
Active
Organization
WEST SHERIDAN DENTAL LLC
Active
Other names
Renova Dental and Implant Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS F VILLANUEVA DDS, PROSTHODONTIST (DENTIST/MANAGER)
(754) 215-4704
Entity
Organization
Contact information
Practice address
15641 SHERIDAN ST STE 400, DAVIE, FL 33331-3485
(754) 215-4704
(786) 497-3409
Mailing address
15641 SHERIDAN ST STE 400, DAVIE, FL 33331-3485
(754) 215-4704
(786) 497-3409
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0700X
Prosthodontics
—
—
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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