Dental Boost Pines, LLC

NPI #1376937185 in Pembroke Pines, Florida

Provider Information

NPI Number
1376937185
Entity Type
Organization
Organization Name
Dental Boost Pines, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
DENTAL BOOST, LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Mar 19, 2015
Last Updated
Mar 19, 2015

Practice Location

Address
240 S FLAMINGO RD
State
Florida
ZIP Code
33027-1721
Phone
(954) 437-0033

Authorized Official

Name
MRS. MARIANA GABALDON, DENTIST
Title
DENTIST/OWNER
Phone
(305) 822-4607

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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