Organization
DAVID EUGENE, D.D.S, P.L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELMIS GONZALEZ (OFFICE MANAGER)
(954) 733-9971
Entity
Organization
Contact information
Practice address
2447 N STATE ROAD 7, LAUDERDALE LAKES, FL 33313
(954) 733-9971
(954) 733-5521
Mailing address
2447 N STATE ROAD 7, LAUDERDALE LAKES, FL 33313-3723
(954) 733-9971
(954) 733-5521
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN18594
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001093600
—
FL
Enumeration date
07/13/2011
Last updated
07/13/2011
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