Organization
STEPHANE DIEUDONNE DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANE DIEUDONNE D.D.S (OWNER/ORTHODONTIST)
(305) 388-5783
Entity
Organization
Contact information
Practice address
14824 PINES BLVD, PEMBROKE PINES, FL 33027-1222
(305) 388-5783
Mailing address
14824 PINES BLVD, PEMBROKE PINES, FL 33027-1222
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN16155
FL
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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