Organization
MANIGLIA & DE SOUSA DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVINA DE SOUSA (DENTIST /OWNER)
(954) 432-3655
Entity
Organization
Contact information
Practice address
294 NW 172ND AVE, PEMBROKE PINES, FL 33029-3196
(954) 432-3655
(954) 438-0334
Mailing address
294 NW 172ND AVE, PEMBROKE PINES, FL 33029-3196
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN19465
FL
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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