| Broward Family Dental Care, Inc. | |
|
6260 W Oakland Park Blvd Sunrise FL 33313-1214 | |
| (954) 742-7995 | |
| (954) 742-2857 |
| Full Name | Broward Family Dental Care, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 6260 W Oakland Park Blvd, Sunrise, Florida |
| Authorized Official Name and Position | Sayed M Fadavi (PRESIDENT) |
| Authorized Official Contact | 9547427995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broward Family Dental Care, Inc. 6260 W Oakland Park Blvd Sunrise FL 33313-1214 Ph: (954) 742-7995 | Broward Family Dental Care, Inc. 6260 W Oakland Park Blvd Sunrise FL 33313-1214 Ph: (954) 742-7995 |
| NPI Number | 1639554108 |
|---|---|
| Provider Enumeration Date | 07/27/2015 |
| Last Update Date | 07/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639554108 | NPI | - | NPPES |
| 014279900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN14848 (Florida) | Primary |
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