East Broward Dental
NPI #1417613092 in Fort Lauderdale, Florida
Provider Information
- NPI Number
- 1417613092
- Entity Type
- Organization
- Organization Name
- East Broward Dental
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- EAST BROWARD DENTAL
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 9, 2021
- Last Updated
- Nov 9, 2021
Practice Location
- Address
- 1212 E BROWARD BLVD # 200
- City
- Fort Lauderdale
- State
- Florida
- ZIP Code
- 33301-2123
- Phone
- (954) 905-2000
Authorized Official
- Name
- DR. BURAK TASKONAK, DDS
- Title
- PRESIDENT
- Phone
- (954) 905-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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