Organization
MY DENTIST FOR LIFE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SABA MANZOOR RIZVI D.M.D. (PRESIDENT)
(954) 432-3655
Entity
Organization
Contact information
Practice address
294 NW 172ND AVE, PEMBROKE PINES, FL 33029-3196
(954) 432-3655
(954) 438-0334
Mailing address
294 NW 172ND AVE, PEMBROKE PINES, FL 33029-3196
(954) 432-3655
(954) 438-0334
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN15321
FL
Other
Enumeration date
01/06/2009
Last updated
01/06/2009
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