Organization
BAYVIEW DENTAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DESTEFON DMD (OWNER)
(561) 859-7985
Entity
Organization
Contact information
Practice address
3000 E COMMERCIAL BLVD, FORT LAUDERDALE, FL 33308-4382
(954) 491-1904
(954) 772-3455
Mailing address
3000 E COMMERCIAL BLVD, FORT LAUDERDALE, FL 33308-4382
(954) 491-1904
(954) 772-3455
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN18561
FL
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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