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Individual

ALBERT W WHITEHEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
3200 S. UNIVERSITY DRIVE, FT. LAUDERDALE, FL 33328
(954) 262-7500
(954) 262-7164
Mailing address
3200 S. UNIVERSITY DRIVE, FT. LAUDERDALE, FL 33328
(954) 262-7500
(954) 262-7164

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DTP401
FL

Other

Enumeration date
04/21/2009
Last updated
04/21/2009
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