Provider First Line Business Practice Location Address:
3300 S UNIVERSITY DRIVE
Provider Second Line Business Practice Location Address:
DEPARTMENT OF ORAL SCIENCE AND TRANSLATIONAL RESEARCH
Provider Business Practice Location Address City Name:
FORT LAUDERDALE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33328-2018
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-262-7315
Provider Business Practice Location Address Fax Number:
954-262-1782
Provider Enumeration Date:
12/09/2021