West Sheridan Dental LLC

NPI #1992456560 in Davie, Florida

Provider Information

NPI Number: 1992456560
Entity Type: Organization
Organization Name: West Sheridan Dental LLC
Primary Specialty: Dentist
Enumeration Date: Jan 14, 2022
Last Updated: Jan 14, 2022

Practice Location

Address: 15641 SHERIDAN ST STE 400
City: Davie
State: Florida
ZIP Code: 33331-3485
Phone: (754) 215-4704

Authorized Official

Name: DR. CARLOS F VILLANUEVA, DDS, PROSTHODONTIST
Title: DENTIST/MANAGER
Phone: (754) 215-4704

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist - Prosthodontics — Prosthodontics	1223P0700X
Dentist	122300000X	Primary

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