Destination Dental Group PC
NPI #1316759905 in Fort Lauderdale, Florida
Provider Information
- NPI Number
- 1316759905
- Entity Type
- Organization
- Organization Name
- Destination Dental Group PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 22, 2025
- Last Updated
- Jan 22, 2025
Practice Location
- Address
- 2455 E SUNRISE BLVD STE 1204
- City
- Fort Lauderdale
- State
- Florida
- ZIP Code
- 33304-3115
- Phone
- (616) 299-2692
Authorized Official
- Name
- DAN KELSEY
- Title
- CFO
- Phone
- (616) 299-2692
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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