Organization
HOUSE OF DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY BRYAN HOUSE DMD (PRESIDENT)
(813) 476-2919
Entity
Organization
Contact information
Practice address
1314 NE 13TH AVE, FORT LAUDERDALE, FL 33304-1829
(813) 476-2919
Mailing address
1201 NE 26TH ST, #107, WILTON MANORS, FL 33305-1206
(813) 476-2919
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 18733
FL
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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