| Village Square Dental Pllc | |
|
1601 N Hiatus Rd Pembroke Pines FL 33026-2129 | |
| (954) 432-8100 | |
| Not Available |
| Full Name | Village Square Dental Pllc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1601 N Hiatus Rd, Pembroke Pines, Florida |
| Authorized Official Name and Position | Andrew Forrest (DDS/OWNER) |
| Authorized Official Contact | 9544328100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Square Dental Pllc 1601 N Hiatus Rd Pembroke Pines FL 33026-2129 Ph: (954) 432-8100 | Village Square Dental Pllc 1601 N Hiatus Rd Pembroke Pines FL 33026-2129 Ph: (954) 432-8100 |
| NPI Number | 1285257048 |
|---|---|
| Provider Enumeration Date | 05/27/2020 |
| Last Update Date | 05/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285257048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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