| East Commercial Childrens Dental | |
|
2633 E Commercial Blvd Fort Lauderdale FL 33308-4135 | |
| (888) 601-4884 | |
| Not Available |
| Full Name | East Commercial Childrens Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2633 E Commercial Blvd, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Robert Rodriguez (CEO) |
| Authorized Official Contact | 7722043529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Commercial Childrens Dental 801 Se 6th Ave Ste 201 Delray Beach FL 33483-5185 Ph: (772) 204-3529 | East Commercial Childrens Dental 2633 E Commercial Blvd Fort Lauderdale FL 33308-4135 Ph: (888) 601-4884 |
| NPI Number | 1386265346 |
|---|---|
| Provider Enumeration Date | 04/30/2020 |
| Last Update Date | 04/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386265346 | NPI | - | NPPES |
| 1154511376 | Other | NATIONAL PROVIDER IDENTIFICATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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