Organization
EASTSIDE SURGICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE HARRIS SULTAN DMD (ADMINISTRATOR)
(954) 771-8772
Entity
Organization
Contact information
Practice address
5400 N FEDERAL HWY, SUITE 102, FT LAUDERDALE, FL 33308-3201
(954) 771-8772
(954) 771-8072
Mailing address
5400 N FEDERAL HWY, SUITE 102, FT LAUDERDALE, FL 33308-3201
(954) 771-8772
(954) 771-8072
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
10648
FL
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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