Organization
SAWGRASS ORTHODONTICS, LLC
Active
Organization
SAWGRASS ORTHODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PENELOPE REINGOWSKY DMD (ORTHODONTIST)
(954) 514-2111
Entity
Organization
Contact information
Practice address
175 NW 136TH AVE, PLANTATION, FL 33325-2624
(954) 514-2111
Mailing address
175 NW 136TH AVE, PLANTATION, FL 33325-2624
(954) 514-2111
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN16748
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN16902
FL
Other
Enumeration date
11/15/2010
Last updated
04/11/2011
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