Organization
SQUARE ONE DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAVED FATMI DMD (PRESIDENT)
(786) 457-3690
Entity
Organization
Contact information
Practice address
3571 NW FEDERAL HWY, JENSEN BEACH, FL 34957-4454
(786) 457-3690
Mailing address
3571 NW FEDERAL HIGHWAY, JENSON BEACH, FL 34957
(786) 457-3690
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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