Lakes Mall Dental
NPI #1609062686 in Pembroke Pines, Florida
Provider Information
- NPI Number
- 1609062686
- Entity Type
- Organization
- Organization Name
- Lakes Mall Dental
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Sep 24, 2007
- Last Updated
- Sep 24, 2007
Practice Location
- Address
- 11401 PINES BLVD
- Address 2
- STE 220
- City
- Pembroke Pines
- State
- Florida
- ZIP Code
- 33026-4117
- Phone
- (954) 432-5515
Authorized Official
- Name
- RONALD L SLOANE, DDS
- Title
- OWNER
- Phone
- (954) 432-5515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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