Organization
DENTAL TEAM OF COCONUT CREEK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT RODRIGUEZ (CEO)
(954) 516-0606
Entity
Organization
Contact information
Practice address
1507 LYONS RD, COCONUT CREEK, FL 33063-3934
(954) 974-4104
(954) 974-6154
Mailing address
1507 LYONS RD, COCONUT CREEK, FL 33063-3934
(954) 974-4104
(954) 974-6154
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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