Boulevard Dental Associates, LLC

NPI #1154814143 in Pembroke Pines, Florida

Provider Information

NPI Number: 1154814143
Entity Type: Organization
Organization Name: Boulevard Dental Associates, LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jun 13, 2018
Last Updated: Jun 13, 2018

Practice Location

Address: 10794 PINES BLVD STE 204
City: Pembroke Pines
State: Florida
ZIP Code: 33026-3920
Phone: (954) 538-9993

Authorized Official

Name: DR. CLAUDIO HERNANDEZ, DDS
Title: DOCTOR
Phone: (954) 538-9993

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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