Individual
DR. DAVID EUGENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2447 NORTH STATE ROAD 7, LAUDERDALE LAKE, FL 33313
(954) 733-9971
(954) 733-5521
Mailing address
2447 N STATE ROAD 7, LAUDERDALE LAKES, FL 33313-3723
(954) 733-9971
(954) 733-5521
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN18594
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001093600
—
FL
Enumeration date
04/22/2009
Last updated
07/20/2011
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