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Organization
SOUTH DENTAL OF PEMBROKE
Active
Organization
SOUTH DENTAL OF PEMBROKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAHN OPPENHEIMER DDS (OWNER)
(305) 388-7599
Entity
Organization
Contact information
Practice address
601 NW 179TH AVE, SUITE 101, PEMBROKE PINES, FL 33029-2819
(954) 450-1303
(954) 450-5568
Mailing address
601 NW 179TH AVE, SUITE 101, PEMBROKE PINES, FL 33029-2819
(954) 450-1303
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13563
FL
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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