Individual
DR. SAMUEL O. DORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8200 W SUNRISE BLVD, SUITE B-2, PLANTATION, FL 33322-5426
(954) 474-8787
(954) 474-1557
Mailing address
8200 W SUNRISE BLVD, SUITE B-2, PLANTATION, FL 33322-5426
(954) 474-8787
(954) 474-1557
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN 6770
FL
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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