Organization
DENTAL TEAM OF BAYVIEW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT RODRIGUEZ (CEO)
(954) 776-4720
Entity
Organization
Contact information
Practice address
2826 E OAKLAND PARK BLVD STE 300, FORT LAUDERDALE, FL 33306-1800
(954) 776-4720
Mailing address
2826 E OAKLAND PARK BLVD, FORT LAUDERDALE, FL 33306-1800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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