Organization
TANGO DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FEDERICO JAVIER SCHMID HIDALGO DDS (PRESIDENT)
(407) 733-9911
Entity
Organization
Contact information
Practice address
3015 BAYVIEW DR STE A, FORT LAUDERDALE, FL 33306-1710
(954) 563-9722
(954) 563-1912
Mailing address
3015 BAYVIEW DR STE A, FORT LAUDERDALE, FL 33306-1710
(954) 563-9722
(954) 563-1912
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN18919
FL
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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