Organization
DENTALMED ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FEDERICO DIEZ D.D.S (OWNER)
(954) 505-7631
Entity
Organization
Contact information
Practice address
12600 PEMBROKE RD, SUITE 314, MIRAMAR, FL 33027-2544
(954) 505-7631
(954) 505-7633
Mailing address
12600 PEMBROKE RD, SUITE 314, MIRAMAR, FL 33027-2544
(954) 505-7631
(954) 505-7633
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
DN13029
FL
1223G0001X
General Practice Dentistry
Primary
DN14284
FL
1223P0300X
Periodontics
DN14345
FL
1223P0700X
Prosthodontics
DN-14284
FL
Other
Enumeration date
12/10/2012
Last updated
10/11/2021
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