institution
Boulevard Dental Associates, Llc
Dental Clinic/Center in Pembroke Pines, Florida
NPI 1154814143

Boulevard Dental Associates, Llc is a Dental Clinic/Center based in Pembroke Pines, FL and is specialized in Dental. Boulevard Dental Associates, Llc practices in Pembroke Pines, FL. The NPI Number for Boulevard Dental Associates, Llc is 1154814143 and holds a License No. DN12326 (Florida).

The current practice location address for Boulevard Dental Associates, Llc is 10794 Pines Blvd Ste 204, Pembroke Pines, FL and can be reached out via phone at 954-538-9993 and via fax at 954-538-9994. You can also correspond with Boulevard Dental Associates, Llc through the mailing address at 10794 PINES BLVD STE 204, PEMBROKE PINES, FL - 33026-3920 (mailing address contact number: 954-538-9993).

Location: 10794 Pines Blvd Ste 204, Pembroke Pines, FL, 33026-3920
institution
Provider Profile Details
NPI Number
1154814143
Provider Name
Boulevard Dental Associates, Llc
Credential
Provider Entity Type
Organization
Address
10794 Pines Blvd Ste 204, Pembroke Pines, FL, 33026-3920
Phone Number
954-538-9993
Fax Number
954-538-9994
Provider Enumeration Date
06/13/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1427594258 01 FL 1427594258
institution
Provider Business Practice Location Address Details
Address
10794 Pines Blvd Ste 204
City
State
Zip
33026-3920
Phone Number
954-538-9993
Fax Number
954-538-9994
person
Provider Business Mailing Address Details
Address
10794 Pines Blvd Ste 204
City
State
Zip
33026-3920
Phone Number
954-538-9993
Fax Number
954-538-9994
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
DN12326 (Florida)
Definition
Definition to come...
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