Organization
GORDON AND RAMIREZ DENTISTRY PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANIQUE KONDRACKI (OFFICE MANAGER)
(954) 983-9003
Entity
Organization
Contact information
Practice address
3990 SHERIDAN ST, #216, HOLLYWOOD, FL 33021-3661
(954) 983-9003
(954) 987-2098
Mailing address
3990 SHERIDAN ST, #216, HOLLYWOOD, FL 33021-3661
(954) 983-9003
(954) 987-2098
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1005
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154415255
DENTAL PRACTICE
FL
01
—
1780778894
DENTAL PRACTICE
FL
Enumeration date
08/28/2008
Last updated
08/28/2008
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