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Organization

PEMBROKE PINES DENTAL HEALTH CENTER, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN VICTOR SOOTIN D.D.S. (OWNER)
(954) 437-2040
Entity
Organization

Contact information

Practice address
1851 NW 125TH AVE, #170, PEMBROKE PINES, FL 33028-2596
(954) 437-2040
(954) 437-4573
Mailing address
1851 NW 125 AVE, #170, PEMBROKE PINES, FL 33028
(954) 437-2040
(954) 437-4573

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN 16213
FL

Other

Enumeration date
01/05/2007
Last updated
08/22/2020
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