Dental Specialists of Pembroke Pines Group
NPI #1073030755 in Pembroke Pines, Florida
Provider Information
- NPI Number
- 1073030755
- Entity Type
- Organization
- Organization Name
- Dental Specialists of Pembroke Pines Group
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 24, 2017
- Last Updated
- Aug 24, 2017
Practice Location
- Address
- 12558 PINES BLVD
- City
- Pembroke Pines
- State
- Florida
- ZIP Code
- 33027-1713
- Phone
- (305) 220-8911
Authorized Official
- Name
- DR. IVAN PELTON, DDS
- Title
- CLINICAL DIRECTOR
- Phone
- (305) 220-8911
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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