Organization
DENTAL PLACE OF TAMARAC,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA BONNER (OFFICE MANAGER)
(954) 722-0100
Entity
Organization
Contact information
Practice address
7300 W MCNAB RD, STE. #115, TAMARAC, FL 33321-5300
(954) 722-0100
Mailing address
7300 W MCNAB RD, STE. #115, TAMARAC, FL 33321-5300
(954) 722-0100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
FL
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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