Organization
ANDREWS DENTAL CARE CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARILYN P RILEY DMD (PRESIDENT/DIRECTOR)
(954) 561-6675
Entity
Organization
Contact information
Practice address
3909 N ANDREWS AVE, OAKLAND PARK, FL 33309-5239
(954) 561-6675
Mailing address
3909 N ANDREWS AVE, OAKLAND PARK, FL 33309-5239
(954) 561-6675
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN17611
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076272502
—
FL
Enumeration date
11/01/2010
Last updated
11/01/2010
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