Organization
HAPPY BITES DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS CARLOS COLLAZOS DMD (DENTIST)
(786) 261-1163
Entity
Organization
Contact information
Practice address
2910 N STATE ROAD 7, LAUDERDALE LAKES, FL 33313-1912
(786) 261-1163
Mailing address
2910 N STATE ROAD 7, LAUDERDALE LAKES, FL 33313-1912
(786) 261-1163
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20855
FL
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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