| Everglades Family Dental | |
|
16024 Pines Blvd Ste 106 Pembroke Pines FL 33027-1168 | |
| (276) 613-0798 | |
| Not Available |
| Full Name | Everglades Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 16024 Pines Blvd Ste 106, Pembroke Pines, Florida |
| Authorized Official Name and Position | Thomas Crowgey (PRESIDENT) |
| Authorized Official Contact | 2766130798 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Everglades Family Dental 16024 Pines Blvd Ste 106 Pembroke Pines FL 33027-1168 | Everglades Family Dental 16024 Pines Blvd Ste 106 Pembroke Pines FL 33027-1168 Ph: (276) 613-0798 |
| NPI Number | 1215693551 |
|---|---|
| Provider Enumeration Date | 11/10/2021 |
| Last Update Date | 11/10/2021 |
| Certification Date | 11/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215693551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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