Broward Dental Spa

NPI #1881836401 in Ft Lauderdale, Florida

Provider Information

NPI Number: 1881836401
Entity Type: Organization
Organization Name: Broward Dental Spa
Primary Specialty: Dentist
Enumeration Date: Mar 27, 2009
Last Updated: Mar 27, 2009

Practice Location

Address: 2161 E COMMERCIAL BLVD FL 1
City: Ft Lauderdale
State: Florida
ZIP Code: 33308-3810
Phone: (954) 351-0406

Authorized Official

Name: MISS FRANCIS GIL
Title: PRESIDENT/ OFFICE MANAGER
Phone: (954) 351-0406

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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