Organization · Type 2 NPI

Lakes Mall Dental Center , PA

General Practice Dentistry · Pembroke Pines, FL

NPI number 1063757912 Active

Practice location

11401 Pines Blvd Ste 220
Pembroke Pines, FL 33026-4104

Mailing address

1830 S Ocean Dr Apt 2204
Hallandale Beach, FL 33009-7695

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X19377 (FL)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3 other providers at this address

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About NPI 1063757912

Lakes Mall Dental Center , PA's National Provider Identifier is 1063757912, issued on Dec 4, 2012. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Pembroke Pines, FL. The record was last updated on Dec 4, 2012.