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140 S University Dr Pembroke Pines FL 33025-2234 | |
| (954) 431-0004 | |
| (954) 431-6194 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 140 S University Dr, Pembroke Pines, Florida |
| Authorized Official Name and Position | Robert Alan Brody (OWNER) |
| Authorized Official Contact | 3056526313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
20295 Nw 2nd Ave Suite 210 Miami FL 33169-2550 Ph: (305) 652-6313 | 140 S University Dr Pembroke Pines FL 33025-2234 Ph: (954) 431-0004 |
| NPI Number | 1861599128 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861599128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN10219 (Florida) | Primary |
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