Organization
B&R DENTAL FLORIDA CORPORATION
Active
Other names
Jacaranda Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
RANIA KASHLAN DDS (PRESIDENT)
(954) 812-9919
Entity
Organization
Contact information
Practice address
600 S PINE ISLAND RD, SUITE 201, PLANTATION, FL 33324-3166
(954) 812-9919
Mailing address
751 LEIGH PALM AVE, PLANTATION, FL 33324-8252
(954) 812-9919
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN18607
FL
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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