Organization
DENTAL PARTNERS OF WESTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH COLLAZO (PRESIDENT)
(954) 385-5855
Entity
Organization
Contact information
Practice address
2721 EXECUTIVE PARK DR #1, WESTON, FL 33331
(954) 385-5855
(954) 385-5258
Mailing address
2721 EXECUTIVE PARK DR #1, WESTON, FL 33331
(954) 385-5855
(954) 385-5258
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN0011940
FL
122300000X
Dentist
Primary
DN0012295
FL
Other
Enumeration date
01/04/2007
Last updated
11/19/2008
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