| Broward Pediatric Dentists Pa | |
|
4420 Sheridan St Ste E Hollywood FL 33021-3552 | |
| (954) 962-8311 | |
| Not Available |
| Full Name | Broward Pediatric Dentists Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4420 Sheridan St Ste E, Hollywood, Florida |
| Authorized Official Name and Position | Daniel Camacho (VICE PRESIDENT) |
| Authorized Official Contact | 9549628311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broward Pediatric Dentists Pa 4420 Sheridan St Ste E Hollywood FL 33021-3552 Ph: (954) 962-8311 | Broward Pediatric Dentists Pa 4420 Sheridan St Ste E Hollywood FL 33021-3552 Ph: (954) 962-8311 |
| NPI Number | 1114818051 |
|---|---|
| Provider Enumeration Date | 07/10/2025 |
| Last Update Date | 07/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114818051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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