Organization · Type 2 NPI

Supreme Dental Care LLC

Dental Clinic/Center · Tamarac, FL

NPI number 1104522812 Active

Practice location

4600 W Commercial Blvd Ste 2
Tamarac, FL 33319-3307

Call (954) 742-3550 Map

Mailing address

7000 W Oakland Park Blvd Ste 301
Lauderhill, FL 33313-1016

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1104522812

Supreme Dental Care LLC's National Provider Identifier is 1104522812, issued on Feb 3, 2023. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Tamarac, FL. The record was last updated on Feb 3, 2023.