Organization
VILLAGE SQUARE DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW FORREST (DDS/OWNER)
(954) 432-8100
Entity
Organization
Contact information
Practice address
1601 N HIATUS RD, PEMBROKE PINES, FL 33026-2129
(954) 432-8100
Mailing address
1601 N HIATUS RD, PEMBROKE PINES, FL 33026-2129
(954) 432-8100
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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