| My Pompano Dentist | |
|
2700 Ne 14th Street Cswy Suite 105 Pompano Beach FL 33062-3561 | |
| (954) 941-2412 | |
| Not Available |
| Full Name | My Pompano Dentist |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2700 Ne 14th Street Cswy, Pompano Beach, Florida |
| Authorized Official Name and Position | Joseph Thayil (OWNER) |
| Authorized Official Contact | 9546556368 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Pompano Dentist 2700 Ne 14th Street Cswy Suite 105 Pompano Beach FL 33062-3561 Ph: (954) 941-2412 | My Pompano Dentist 2700 Ne 14th Street Cswy Suite 105 Pompano Beach FL 33062-3561 Ph: (954) 941-2412 |
| NPI Number | 1881053247 |
|---|---|
| Provider Enumeration Date | 02/14/2016 |
| Last Update Date | 02/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881053247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN18502 (Florida) | Primary |
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