Premier Dental Group of Hallandale
NPI #1013267145 in Hallandale Beach, Florida
Provider Information
- NPI Number
- 1013267145
- Entity Type
- Organization
- Organization Name
- Premier Dental Group of Hallandale
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 17, 2012
- Last Updated
- Sep 17, 2012
Practice Location
- Address
- 1701 E HALLANDALE BEACH BLVD
- City
- Hallandale Beach
- State
- Florida
- ZIP Code
- 33009-4621
- Phone
- (954) 458-4584
Authorized Official
- Name
- CARLOS MAZA
- Title
- CEO
- Phone
- (954) 458-4584
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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