Provider First Line Business Practice Location Address:
7321 N STATE ROAD 7
Provider Second Line Business Practice Location Address:
DEDICATED DENTAL GROUP
Provider Business Practice Location Address City Name:
PARKLAND
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33073-4527
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-796-9900
Provider Business Practice Location Address Fax Number:
954-796-9988
Provider Enumeration Date:
11/30/2005