Lauderhill Mall Dental, PA
NPI #1285310011 in Lauderhill, Florida
Provider Information
- NPI Number
- 1285310011
- Entity Type
- Organization
- Organization Name
- Lauderhill Mall Dental, PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 26, 2023
- Last Updated
- Jun 26, 2023
Practice Location
- Address
- 1249 NW 40TH AVE
- City
- Lauderhill
- State
- Florida
- ZIP Code
- 33313-5801
- Phone
- (954) 584-2214
Authorized Official
- Name
- ROSTISLAV KRASNOV, DDS
- Title
- OWNER
- Phone
- (954) 584-2214
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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