| Kids Dental Plus, P.a. | |
|
2910 N State Road 7 Lauderdale Lakes FL 33313-1912 | |
| (954) 533-9639 | |
| (954) 368-4316 |
| Full Name | Kids Dental Plus, P.a. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2910 N State Road 7, Lauderdale Lakes, Florida |
| Authorized Official Name and Position | Ruben Villarreal (DENTIST) |
| Authorized Official Contact | 9545339639 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Dental Plus, P.a. 2910 N State Road 7 Lauderdale Lakes FL 33313-1912 Ph: (954) 533-9639 | Kids Dental Plus, P.a. 2910 N State Road 7 Lauderdale Lakes FL 33313-1912 Ph: (954) 533-9639 |
| NPI Number | 1528722436 |
|---|---|
| Provider Enumeration Date | 10/26/2021 |
| Last Update Date | 11/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528722436 | NPI | - | NPPES |
| 021266000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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