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institution
The Green Dental Studio Pa
Dental Clinic/Center in Fort Lauderdale, Florida
NPI 1134825052

The Green Dental Studio Pa is a Dental Clinic/Center based in Fort Lauderdale, FL and is specialized in Dental. The Green Dental Studio Pa practices in Fort Lauderdale, FL. The NPI Number for The Green Dental Studio Pa is 1134825052 and holds a License No. (Florida).

The current practice location address for The Green Dental Studio Pa is 1330 Se 4Th Ave Ste L, Fort Lauderdale, FL and can be reached out via phone at 954-990-8389.

Location: 1330 Se 4Th Ave Ste L, Fort Lauderdale, FL, 33316-1958
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134825052
Provider Name
The Green Dental Studio Pa
Credential
Provider Entity Type
Organization
Address
1330 Se 4Th Ave Ste L, Fort Lauderdale, FL, 33316-1958
Phone Number
954-990-8389
Fax Number
Provider Enumeration Date
02/02/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1760008486 05 NJ
institution
Provider Business Practice Location Address Details
Address
1330 Se 4Th Ave Ste L
City
Fort Lauderdale
State
Florida
Zip
33316-1958
Phone Number
954-990-8389
Fax Number
person
Provider Business Mailing Address Details
Address
1330 Se 4Th Ave Ste L
City
Fort Lauderdale
State
Florida
Zip
33316-1958
Phone Number
954-990-8389
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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