Organization
LAKES MALL DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD L SLOANE DDS (OWNER)
(954) 432-5515
Entity
Organization
Contact information
Practice address
11401 PINES BLVD, STE 220, PEMBROKE PINES, FL 33026-4117
(954) 432-5515
(954) 432-8908
Mailing address
11401 PINES BLVD, STE 220, PEMBROKE PINES, FL 33026-4117
(954) 432-5515
(954) 432-8908
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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