Organization
HIDDEN GEM DENTAL
Active
Other names
Hidden Gem Dental
Organization subpart
No
Provider details
NPI number
Authorized official
HELENA HOGAN DMD (OWNER)
(954) 405-9620
Entity
Organization
Contact information
Practice address
4403 W HILLSBORO BLVD, COCONUT CREEK, FL 33073-3293
(954) 405-9620
(954) 697-0702
Mailing address
4403 W HILLSBORO BLVD, COCONUT CREEK, FL 33073-3293
(954) 405-9620
(954) 697-0702
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235394172
DENTAL
—
01
—
1851520456
DENTAL
FL
Enumeration date
01/30/2020
Last updated
01/30/2020
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