Organization
DENTAL LOUNGE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY BALSAM (CEO)
(954) 686-5729
Entity
Organization
Contact information
Practice address
2717 SOUTHWEST 2ND STREET, FT. LAUDERDALE, FL 33306
(954) 686-5729
(954) 246-0052
Mailing address
2023 SW 2ND ST, POMPANO BEACH, FL 33069-3114
(856) 459-2270
(856) 459-9674
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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