Organization
DENTAL AIRWAY SPECIALTY CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP JOSEPHS DDS (PRESIDENT)
(561) 414-9145
Entity
Organization
Contact information
Practice address
8320 W SUNRISE BLVD STE 106, PLANTATION, FL 33322-5434
(954) 474-9660
Mailing address
8320 W SUNRISE BLVD STE 106, PLANTATION, FL 33322-5434
(954) 474-9660
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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