Organization
AMERICAN PEDIATRIC DENTAL PINES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHELLE PENA (DIRECTOR OF CORPORATE)
(415) 518-5117
Entity
Organization
Contact information
Practice address
18501 PINES BLVD STE 211, PEMBROKE PINES, FL 33029-1420
(954) 417-1337
(954) 417-1338
Mailing address
18501 PINES BLVD STE 211, PEMBROKE PINES, FL 33029-1420
(954) 417-1337
(954) 417-1338
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
06/19/2017
Last updated
07/21/2022
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