Organization
GD FL CSDC PLLC
Active
Other names
Coral Springs Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING)
(612) 859-0444
Entity
Organization
Contact information
Practice address
1700 N UNIVERSITY DR STE 110, CORAL SPRINGS, FL 33071-8970
(954) 344-8800
Mailing address
1700 N UNIVERSITY DR STE 110, CORAL SPRINGS, FL 33071-8970
(954) 344-8800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
04/04/2024
Last updated
05/15/2024
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