Organization
DENTAL IMPLANT 24HRS PEMBROKE PINES LLC
Active
Other names
Dr. Implant
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE ALBERTO DDS (CEO)
(786) 683-0698
Entity
Organization
Contact information
Practice address
9050 PINES BLVD STE 420, PEMBROKE PINES, FL 33024-6443
(954) 697-4533
Mailing address
8250 SW 180TH ST, PALMETTO BAY, FL 33157-6130
(786) 229-0698
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/04/2022
Last updated
02/09/2023
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