Organization
SOUTHEASTERN DENTAL ASSOCIATES IV, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH D RUBINSTEIN D.M.D. (PRESIDENT/OWNER)
(954) 946-7980
Entity
Organization
Contact information
Practice address
1800 N FEDERAL HWY, SUITE 103, POMPANO BEACH, FL 33062-1034
(954) 946-7980
(954) 946-2206
Mailing address
1800 N FEDERAL HWY, SUITE 103, POMPANO BEACH, FL 33062-1034
(954) 946-7980
(954) 946-2206
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN 14485
FL
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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