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Organization

HOLLYWOOD DENTAL CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PETER GANGI (OFFICE MANAGER)
(954) 367-5671
Entity
Organization

Contact information

Practice address
2303 HOLLYWOOD BLVD, SUITE 14, HOLLYWOOD, FL 33020-6711
(954) 367-5671
(954) 653-1326
Mailing address
2303 HOLLYWOOD BLVD, SUITE 14, HOLLYWOOD, FL 33020-6711
(954) 367-5671
(954) 653-1326

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN3884
FL

Other

Enumeration date
01/16/2013
Last updated
01/23/2013
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