Organization
COOPER CITY FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE RESPOL (OFFICE MANAGER)
(954) 252-8257
Entity
Organization
Contact information
Practice address
5900 HIATUS RD STE 300, COOPER CITY, FL 33330-4527
(954) 252-8257
Mailing address
5900 HIATUS RD STE 300, COOPER CITY, FL 33330-4527
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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