Organization
AESTHETIC DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA TOIRAC DDS (DENTIST)
(954) 563-5535
Entity
Organization
Contact information
Practice address
2330 NE 9TH ST, FT LAUDERDALE, FL 33304-3579
(954) 563-5535
(954) 563-8888
Mailing address
2330 NE 9TH ST, FT LAUDERDALE, FL 33304-3579
(954) 563-5535
(954) 563-8888
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN17931
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1223G0001X
GENERAL PRACTICE ( DENTAL)
FL
Enumeration date
02/08/2011
Last updated
02/08/2011
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