Organization · Type 2 NPI
Broward County Dental Surgery PA
Oral and Maxillofacial Surgery (Dentist) · Fort Lauderdale, FL
Practice location
5181 NE 19 Ave
Fort Lauderdale, FL 33308
Fax (954) 772-2569
Mailing address
PO Box 11223
Fort Lauderdale, FL 33339
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | DN5272 (FL) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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About NPI 1861748402
Broward County Dental Surgery PA's National Provider Identifier is 1861748402, issued on Aug 1, 2012. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Dec 17, 2012.