Organization · Type 2 NPI

Southwest Broward

Dental Clinic/Center · Pembroke Pines, FL

NPI number 1053580027 Active

Practice location

18503 Pines Blvd, Suite 305
Pembroke Pines, FL 33029-1404

Call (954) 392-1851 Map

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X12267 (FL)
Emergency Care Clinic/Center 261QE0002X12267 (FL)
Pain Clinic/Center 261QP3300X12267 (FL)
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X12267 (FL)

Dental Clinic/Center: Definition to come...

23 other providers at this address

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About NPI 1053580027

Southwest Broward's National Provider Identifier is 1053580027, issued on Feb 25, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Pembroke Pines, FL. The record was last updated on Feb 25, 2008.