Organization
PEDIATRIC DENTAL CENTER OF NORTH LAUDERDALE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ENRIQUE ACOSTA DDS (PRESIDENT)
(954) 341-0002
Entity
Organization
Contact information
Practice address
7244 W MCNAB RD, NORTH LAUDERDALE, FL 33068-5441
(954) 341-0002
Mailing address
7244 W MCNAB RD, NORTH LAUDERDALE, FL 33068-5441
(954) 341-0002
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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