Sawgrass Mills Mall Dental, PA

NPI #1306088133 in Sunrise, Florida

Provider Information

NPI Number
1306088133
Entity Type
Organization
Organization Name
Sawgrass Mills Mall Dental, PA
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 25, 2009
Last Updated
Jul 17, 2024

Practice Location

Address
165 NW 136TH AVE
Address 2
#C110
State
Florida
ZIP Code
33325-2624
Phone
(954) 846-7171

Authorized Official

Name
ROSTISLAV KRASNOV, DDS
Title
OWNER
Phone
(954) 846-7171

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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