| Broward Children's Center | |
|
200 Se 19th Ave Pompano Beach FL 33060-7543 | |
| (954) 943-7638 | |
| (954) 943-5950 |
| Full Name | Broward Children's Center |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 200 Se 19th Ave, Pompano Beach, Florida |
| Authorized Official Name and Position | Robert S. Oller (CEO / CLINICAL OPERATIONS) |
| Authorized Official Contact | 9542624343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broward Children's Center 3200 S University Dr Assembly Bldg # 2 Room 202 Davie FL 33328-2018 Ph: (954) 262-4343 | Broward Children's Center 200 Se 19th Ave Pompano Beach FL 33060-7543 Ph: (954) 943-7638 |
| NPI Number | 1295974293 |
|---|---|
| Provider Enumeration Date | 02/13/2009 |
| Last Update Date | 02/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295974293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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