South Dental of Davie, INC

NPI #1477413896 in Davie, Florida

Provider Information

NPI Number: 1477413896
Entity Type: Organization
Organization Name: South Dental of Davie, INC
Primary Specialty: Dentist
Enumeration Date: Nov 17, 2025
Last Updated: Nov 17, 2025

Practice Location

Address: 4699 SW 64TH AVE
City: Davie
State: Florida
ZIP Code: 33314-4423
Phone: (754) 285-1616

Authorized Official

Name: ELIAS TOBON-ANGEL, DMD
Title: LEGAL REPRESENTATIVE
Phone: (754) 285-1616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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