| Dentistart Group | |
|
9955 Nw 31st St Ste 203 Coral Springs FL 33065-3951 | |
| (954) 383-4875 | |
| Not Available |
| Full Name | Dentistart Group |
|---|---|
| Speciality | Dentist |
| Location | 9955 Nw 31st St Ste 203, Coral Springs, Florida |
| Authorized Official Name and Position | Lui Hernando Ochoa (PRESIDENT) |
| Authorized Official Contact | 9543834875 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistart Group 9955 Nw 31st St Ste 203 Coral Springs FL 33065-3951 Ph: (954) 383-4875 | Dentistart Group 9955 Nw 31st St Ste 203 Coral Springs FL 33065-3951 Ph: (954) 383-4875 |
| NPI Number | 1740681709 |
|---|---|
| Provider Enumeration Date | 09/09/2014 |
| Last Update Date | 09/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740681709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN 17926 (Florida) | Primary |
| 122300000X | Dentist | (* (Not Available)) | Secondary |
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