Organization
GENTLE DENTAL GROUP OF TAMARAC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNABELLA BROWN (CREDENTIALING COORDINATOR)
(561) 999-9650
Entity
Organization
Contact information
Practice address
951 BROKEN SOUND PKWY STE 185, BOCA RATON, FL 33487-3506
(561) 999-9650
(561) 431-8169
Mailing address
6269 N UNIVERSITY DR, TAMARAC, FL 33321-4022
(561) 999-9650
(561) 431-8169
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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