Individual
MR. ENRIQUE ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7244 W MCNAB RD, NORTH LAUDERDALE, FL 33068-5441
(954) 341-0002
(954) 341-7272
Mailing address
7244 W MCNAB RD, NORTH LAUDERDALE, FL 33068-5441
(954) 341-0002
(954) 341-7272
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN17284
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076110900
—
FL
Enumeration date
07/26/2006
Last updated
07/01/2024
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