Organization
CRAIG LUSTMAN DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAGI LUSTMAN DDS (OWNER)
(954) 770-0783
Entity
Organization
Contact information
Practice address
20762 W DIXIE HWY, AVENTURA, FL 33180-1146
(954) 770-0783
Mailing address
3184 STIRLING RD UNIT D1, HOLLYWOOD, FL 33021-2061
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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