Organization
CONRAD V. HIBBERT, DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONRAD V HIBBERT DMD (DENTIST)
(954) 435-6636
Entity
Organization
Contact information
Practice address
10794 PINES BLVD, BUILDING 1, SUITE 103, PEMBROKE PINES, FL 33026-3920
(954) 435-6636
Mailing address
10794 PINES BLVD, BUILDING 1, SUITE 103, PEMBROKE PINES, FL 33026-3920
(954) 435-6636
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13088
FL
Other
Enumeration date
03/15/2007
Last updated
08/22/2020
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