Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lakes Mall Dental Center , PA

Organization General Practice Dentistry · NPI 1063757912

Lakes Mall Dental Center , PA is a General Practice Dentistry in Pembroke Pines, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

11401 Pines Blvd Ste 220
Pembroke Pines, FL 33026-4104
Phone: (954) 432-5515
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 19377 (FL)

Record details

NPI number1063757912
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Erik Calderon — President · (305) 951-9988
NPI enumeratedDecember 4, 2012
Last updated in NPPESDecember 4, 2012
Mailing address1830 S Ocean Dr Apt 2204, Hallandale Beach, FL 33009-7695

Other providers in Pembroke Pines