| Vital Dental Center Of Hollywood | |
|
4310 Sheridan St Ste 201a Hollywood FL 33021-3554 | |
| (954) 961-1900 | |
| (954) 947-7718 |
| Full Name | Vital Dental Center Of Hollywood |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4310 Sheridan St Ste 201a, Hollywood, Florida |
| Authorized Official Name and Position | Martin A Maya (OWNER) |
| Authorized Official Contact | 9549611900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Dental Center Of Hollywood 4310 Sheridan St Ste 201a Hollywood FL 33021-3554 Ph: (954) 961-1900 | Vital Dental Center Of Hollywood 4310 Sheridan St Ste 201a Hollywood FL 33021-3554 Ph: (954) 961-1900 |
| NPI Number | 1467111534 |
|---|---|
| Provider Enumeration Date | 12/15/2021 |
| Last Update Date | 12/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467111534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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