Organization
BROWARD PEDIATRIC DENTISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL CAMACHO DMD (VICE PRESIDENT)
(954) 962-8311
Entity
Organization
Contact information
Practice address
4420 SHERIDAN ST STE E, HOLLYWOOD, FL 33021-3552
(954) 962-8311
Mailing address
4420 SHERIDAN ST STE E, HOLLYWOOD, FL 33021-3552
(954) 962-8311
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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