| Lakes Mall Dental | |
|
11401 Pines Blvd Ste 220 Pembroke Pines FL 33026-4117 | |
| (954) 432-5515 | |
| (954) 432-8908 |
| Full Name | Lakes Mall Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11401 Pines Blvd, Pembroke Pines, Florida |
| Authorized Official Name and Position | Ronald L Sloane (OWNER) |
| Authorized Official Contact | 9544325515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakes Mall Dental 11401 Pines Blvd Ste 220 Pembroke Pines FL 33026-4117 Ph: (954) 432-5515 | Lakes Mall Dental 11401 Pines Blvd Ste 220 Pembroke Pines FL 33026-4117 Ph: (954) 432-5515 |
| NPI Number | 1609062686 |
|---|---|
| Provider Enumeration Date | 09/24/2007 |
| Last Update Date | 09/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609062686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Dr Z Smiles Of Pembroke Pines Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15833 Pines Blvd, Pembroke Pines, FL 33027 Phone: 305-606-4291 | |
Laura Gonzalez D.m.d, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 N Hiatus Rd, Suite 109, Pembroke Pines, FL 33026 Phone: 954-431-8484 Fax: 954-431-8435 | |
Eustorgio A Lopez Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1548 Nw 208th Way, Pembroke Pines, FL 33029 Phone: 786-375-1449 Fax: 954-337-0356 | |
Mileides Pena Marro & Associates Dmd., Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8383 Pines Blvd, Pembroke Pines, FL 33024 Phone: 954-436-8000 | |
Monika Srivastava Dmd Pa East Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10051 Pines Blvd, Suite C, Pembroke Pines, FL 33024 Phone: 954-251-2717 Fax: 954-613-4005 | |
Lakes Mall Dental Center , Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11401 Pines Blvd Ste 220, Pembroke Pines, FL 33026 Phone: 954-432-5515 | |
Patricia M. Jaquez, Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12297 Pembroke Rd, Pembroke Pines, FL 33025 Phone: 954-430-0308 |