Organization
FAMILY DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY ROBERTS DDS (OWNER)
(954) 973-0990
Entity
Organization
Contact information
Practice address
6130 W ATLANTIC BLVD, MARGATE, FL 33063-5123
(954) 973-1794
Mailing address
6130 W ATLANTIC BLVD, MARGATE, FL 33063-5123
(954) 973-1794
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 11682
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003609100
—
FL
Enumeration date
12/13/2013
Last updated
12/13/2013
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