Lakes Mall Dental
Lakes Mall Dental is a Dental Clinic/Center in Pembroke Pines, Florida. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
11401 Pines Blvd Ste 220Pembroke Pines, FL 33026-4117
Phone: (954) 432-5515
Fax: (954) 432-8908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1609062686 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ronald Sloane — Owner · (954) 432-5515 |
| NPI enumerated | September 24, 2007 |
| Last updated in NPPES | September 24, 2007 |
| Mailing address | 11401 Pines Blvd, Ste 220, Pembroke Pines, FL 33026-4117 |
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