Organization
DENTAL BOOST PINES, LLC
Active
Parent organization
DENTAL BOOST, LLC
Other names
Dental Boost, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL BOOST, LLC
Authorized official
MRS. MARIANA GABALDON DENTIST (DENTIST/OWNER)
(305) 822-4607
Entity
Organization
Contact information
Practice address
240 S FLAMINGO RD, PEMBROKE PINES, FL 33027-1721
(954) 437-0033
(954) 437-7796
Mailing address
240 S FLAMINGO RD, PEMBROKE PINES, FL 33027-1721
(954) 437-0033
(954) 437-7796
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN19159
FL
Other
Enumeration date
03/19/2015
Last updated
03/19/2015
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