Pines Family Dental
NPI #1962556514 in Pembroke Pines, Florida
Provider Information
- NPI Number
- 1962556514
- Entity Type
- Organization
- Organization Name
- Pines Family Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 22, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 20170 PINES BLVD STE 108
- City
- Pembroke Pines
- State
- Florida
- ZIP Code
- 33029-1202
- Phone
- (954) 430-1717
Authorized Official
- Name
- DR. RAUL LIZASO, DMD
- Title
- OWNER
- Phone
- (954) 430-1717
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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