Organization
MY DENTIST OF FORT LAUDERDALE PLLC
Active
Other names
My Dentist of Fort Lauderdale
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZELJKA LICINA DDS (OWNER DENTIST)
(954) 408-9282
Entity
Organization
Contact information
Practice address
2500 E OAKLAND PARK BLVD, FORT LAUDERDALE, FL 33306-1601
(954) 408-9282
Mailing address
2500 E OAKLAND PARK BLVD, FORT LAUDERDALE, FL 33306-1601
(954) 408-9282
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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