Organization
DENTAL SPECIALISTS OF BROWARD GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY L GOLDEN D.D.S (CLINICAL DIRECTOR / OWNER)
(954) 588-4671
Entity
Organization
Contact information
Practice address
9 SW 17TH ST, FT LAUDERDALE, FL 33315-1741
(954) 588-4671
(305) 593-6855
Mailing address
9 SW 17TH ST, FT LAUDERDALE, FL 33315-1741
(954) 588-4671
(305) 593-6855
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 2046
FL
Other
Enumeration date
08/30/2013
Last updated
07/20/2016
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