Organization
SAPPHIRE DENTAL CLINIC P.A
Active
Other names
Opalo Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DIEGO VIAFARA MANCILLA (GENERAL MANAGER)
(954) 872-2355
Entity
Organization
Contact information
Practice address
3880 W BROWARD BLVD STE 4, FORT LAUDERDALE, FL 33312-1062
(954) 872-2355
Mailing address
3880 W BROWARD BLVD STE 4, FORT LAUDERDALE, FL 33312-1062
(954) 872-2355
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/22/2025
Last updated
12/24/2025
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