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Organization

NEWSTAR DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DENYS SEVERCHENKO DMD (OWNER)
(954) 824-1824
Entity
Organization

Contact information

Practice address
2401 W BROWARD BLVD STE 2, FORT LAUDERDALE, FL 33312-1319
(954) 824-1824
Mailing address
2401 W BROWARD BLVD STE 2, FORT LAUDERDALE, FL 33312-1319
(954) 824-1824

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
06/24/2022
Last updated
05/31/2023
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