Organization
CORAL SPRINGS FAMILY DENTISTRY AT UNIVESITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILYA STEIN D.M.D. (PRESIDENT)
(954) 341-4755
Entity
Organization
Contact information
Practice address
2123 N UNIVERSITY DR, CORAL SPRINGS, FL 33071-6134
(954) 341-4766
Mailing address
10800 AVENIDA DEL RIO, DELRAY BEACH, FL 33446-2444
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN14972
FL
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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