Organization
EAST COAST FAMILY DENTAL LAUDERDALE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL REYES DDS (CEO)
(305) 264-0747
Entity
Organization
Contact information
Practice address
4358 N FEDERAL HWY, FT LAUDERDALE, FL 33308-5208
(954) 776-3320
(954) 776-4536
Mailing address
6741 SW 24TH ST, SUITE 14, MIAMI, FL 33155-1762
(305) 264-0747
(305) 264-0595
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN11150
FL
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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