Organization
PYG DENTAL MANAGEMENT
Active
Other names
FAMILY DENTAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER J GANGI (OFFICE MANAGER)
(954) 581-9228
Entity
Organization
Contact information
Practice address
1600 N STATE ROAD 7 STE 400, LAUDERHILL, FL 33313-5853
(954) 581-9228
Mailing address
1600 N STATE ROAD 7 STE 400, LAUDERHILL, FL 33313-5853
(954) 581-9228
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN15530
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070691400
—
FL
05
—
075433100
—
FL
Enumeration date
07/01/2008
Last updated
07/01/2008
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