Organization
PUPO DENTAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YUSIMY PUPO DDS (DENTIST / PRESIDENT)
(954) 829-3934
Entity
Organization
Contact information
Practice address
9633 W BROWARD BLVD STE 10, PLANTATION, FL 33324-2332
(954) 829-3934
Mailing address
18177 SW 4TH CT, PEMBROKE PINES, FL 33029-4350
(954) 829-3934
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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