Organization
SUNRISE FAMILY SMILES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEVERLY GREEN DDS (PRESIDENT)
(954) 900-3180
Entity
Organization
Contact information
Practice address
9440 WEST COMMERCIAL BLVD, SUITE 105, SUNRISE, FL 33351
(954) 900-3180
Mailing address
9440 WEST COMMERCIAL BLVD, SUITE 105, SUNRISE, FL 33351
(954) 900-3180
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/16/2018
Last updated
02/10/2020
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