Organization
OLIVERLLAVONA LLC
Active
Other names
Dental Specialists of Weston
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DANA ROMANOWSKI (OFFICE MANAGER)
(954) 349-4993
Entity
Organization
Contact information
Practice address
2575 GLADES CIR, SUITE 3, WESTON, FL 33327-2254
(954) 349-4993
(954) 349-4808
Mailing address
2575 GLADES CIR, SUITE 3, WESTON, FL 33327-2254
(954) 349-4993
(954) 349-4808
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
DN17469
FL
1223P0300X
Periodontics
Primary
DN17440
FL
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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