LAKES MALL DENTAL CENTER , PA

NPI: 1063757912 · Organization · Active

Primary Specialty

General Practice Dentistry
Dentist — General Practice

Practice Location

11401 PINES BLVD STE 220
PEMBROKE PINES, FL 33026-4104 Map ↗
Phone: 954-432-5515

Mailing Address

1830 S OCEAN DR APT 2204
HALLANDALE BEACH, FL 33009-7695 Map ↗
Phone: 305-951-9988

Used for billing & correspondence; clinical visits at the Practice Location above.

All Specialties & Licenses

  • General Practice Dentistry Primary — General Practice (license: 19377, FL)

NPI Registration

Enumerated: 2012-12-04

Last CMS Update: 2012-12-04