Organization
ADVANCED AESTHETIC DENTISTRY 1 PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DASHA RESNANSKY DDS (OWNER)
(954) 458-1583
Entity
Organization
Contact information
Practice address
1701 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009-4621
(954) 458-1583
(954) 458-4078
Mailing address
1701 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009-4621
(954) 458-1583
(954) 458-4078
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN16596
FL
Other
Enumeration date
02/02/2012
Last updated
02/02/2012
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