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Individual

MICHAEL A. SIMON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2500 E HALLANDALE BEACH BLVD, SUITE 700, HALLANDALE BEACH, FL 33009-4834
(954) 456-5400
(954) 456-8278
Mailing address
2500 E HALLANDALE BEACH BLVD, SUITE 700, HALLANDALE BEACH, FL 33009-4834
(954) 456-5400
(954) 456-8278

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
12207
FL

Other

Enumeration date
12/18/2006
Last updated
07/08/2007
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