Organization
PEMBROKE DENTAL & SPA PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE NOVARA DMD (AUTHORIZED OFFICIAL)
(786) 488-3507
Entity
Organization
Contact information
Practice address
15671 PINES BLVD, PEMBROKE PINES, FL 33027-1204
(954) 419-4455
Mailing address
21239 NE 31ST AVE, AVENTURA, FL 33180-3907
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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