Lakes Mall Dental Center , PA
NPI #1063757912 in Pembroke Pines, Florida
Provider Information
- NPI Number
- 1063757912
- Entity Type
- Organization
- Organization Name
- Lakes Mall Dental Center , PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 4, 2012
- Last Updated
- Dec 4, 2012
Practice Location
- Address
- 11401 PINES BLVD STE 220
- City
- Pembroke Pines
- State
- Florida
- ZIP Code
- 33026-4104
- Phone
- (954) 432-5515
Authorized Official
- Name
- DR. ERIK O CALDERON, D.M.D
- Title
- PRESIDENT
- Phone
- (305) 951-9988
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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