Organization · Type 2 NPI
Boulevard Dental Associates, LLC
Dental Clinic/Center · Pembroke Pines, FL
NPI number
1154814143
Active
Practice location
10794 Pines Blvd Ste 204
Pembroke Pines, FL 33026-3920
Fax (954) 538-9994
Other practice locations
- 10794 Pines Blvd Ste 204, Pembroke Pines, FL 33026-3920 · (954) 538-9993
- 5370 Palm Ave Ste 4, Hialeah, FL 33012-2766 · (305) 821-9022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | DN12326 (FL) |
Dental Clinic/Center: Definition to come...
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About NPI 1154814143
Boulevard Dental Associates, LLC's National Provider Identifier is 1154814143, issued on Jun 13, 2018. 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 Jun 13, 2018.