| Family Dental Care | |
|
1600 N State Road 7 Ste 400 Lauderhill FL 33313-5853 | |
| (954) 581-9228 | |
| Not Available |
| Full Name | Family Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1600 N State Road 7 Ste 400, Lauderhill, Florida |
| Authorized Official Name and Position | Peter J Gangi (OFFICE MANAGER) |
| Authorized Official Contact | 9545819228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dental Care 1600 N State Road 7 Ste 400 Lauderhill FL 33313-5853 Ph: (954) 581-9228 | Family Dental Care 1600 N State Road 7 Ste 400 Lauderhill FL 33313-5853 Ph: (954) 581-9228 |
| NPI Number | 1285896159 |
|---|---|
| Provider Enumeration Date | 07/01/2008 |
| Last Update Date | 07/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285896159 | NPI | - | NPPES |
| 075433100 | Medicaid | FL | |
| 070691400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN15530 (Florida) | Primary |
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