Gd Fl Ddp Pllc
NPI #1003536459 in Plantation, Florida
Provider Information
- NPI Number
- 1003536459
- Entity Type
- Organization
- Organization Name
- Gd Fl Ddp Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 29, 2022
- Last Updated
- Aug 29, 2022
Practice Location
- Address
- 10019 CLEARY BLVD
- City
- Plantation
- State
- Florida
- ZIP Code
- 33324-1000
- Phone
- (954) 473-6400
Authorized Official
- Name
- CHAD HENDRICKS
- Title
- CREDENTIALING
- Phone
- (612) 859-0444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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| DR. Freddy Vallejo, D.D.S. | |
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