Organization
BAYVIEW DENTAL ASSOC.PA.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP PINE (OWNER)
(954) 776-4720
Entity
Organization
Contact information
Practice address
2633 E COMMERCIAL BLVD, FORT LAUDERDALE, FL 33308-4135
(954) 776-4720
Mailing address
2633 E COMMERCIAL BLVD, FORT LAUDERDALE, FL 33308-4135
(954) 776-4720
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10129
FL
Other
Enumeration date
08/16/2006
Last updated
08/22/2020
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