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Indian Trace Dental Associates,p.a.
Dental Clinic/Center in Weston, Florida
NPI 1780266734

Indian Trace Dental Associates,p.a. is a Dental Clinic/Center based in Weston, FL and is specialized in Dental. Indian Trace Dental Associates,p.a. practices in Weston, FL. The NPI Number for Indian Trace Dental Associates,p.a. is 1780266734 and holds a License No. (Florida).

The current practice location address for Indian Trace Dental Associates,p.a. is 46 Indian Trce, Weston, FL and can be reached out via phone at 954-217-9200 and via fax at 954-217-9500.

Location: 46 Indian Trce, Weston, FL, 33326-4551
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780266734
Provider Name
Indian Trace Dental Associates,p.a.
Credential
Provider Entity Type
Organization
Address
46 Indian Trce, Weston, FL, 33326-4551
Phone Number
954-217-9200
Fax Number
954-217-9500
Provider Enumeration Date
04/28/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1093899171 01 NPI
institution
Provider Business Practice Location Address Details
Address
46 Indian Trce
City
Weston
State
Florida
Zip
33326-4551
Phone Number
954-217-9200
Fax Number
954-217-9500
person
Provider Business Mailing Address Details
Address
46 Indian Trce
City
Weston
State
Florida
Zip
33326-4551
Phone Number
954-217-9200
Fax Number
954-217-9500
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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