Organization
ADVANTAGE DENTAL ESTHETIC GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE ENRIQUE MESA DMD (DENTIST)
(954) 384-7505
Entity
Organization
Contact information
Practice address
17130 ROYAL PALM BLVD, SUITE #3, WESTON, FL 33326-2311
(954) 384-7505
(954) 384-2465
Mailing address
17130 ROYAL PALM BLVD, SUITE #3, WESTON, FL 33326-2311
(954) 384-7505
(954) 384-2465
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DN12634
FL
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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