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Organization

AMAZING DENTAL L.L.C.

Active
Parent organization
AMAZING DENTAL L.L.C.
Organization subpart
Yes

Provider details

NPI number
Legal business name
AMAZING DENTAL L.L.C.
Authorized official
MARY CECILIA CROSBY D.D.S. (PRESIDENT)
(954) 544-2814
Entity
Organization

Contact information

Practice address
5740 HOLLYWOOD BLVD, SUITE# 400, HOLLYWOOD, FL 33021-6357
(954) 544-2814
(954) 544-2913
Mailing address
5740 HOLLYWOOD BLVD, SUITE# 400, HOLLYWOOD, FL 33021-6357
(954) 544-2814
(954) 544-2913

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary

Other

Enumeration date
10/12/2015
Last updated
10/12/2015
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