Lakes Mall Dental Center , Pa Dental Clinic

Get detailed information about Lakes Mall Dental Center , Pa dental clinic in Hallandale Beach Florida.
Lakes Mall Dental Center , Pa (LAKES MALL DENTAL CENTER , PA) is a Dental Clinic - General Practice in Pembroke Pines, Florida. Dental care clinics provide dental treatment and oral care to patients of all ages. The NPI Number for Lakes Mall Dental Center , Pa is 1063757912.

The current location address for Lakes Mall Dental Center , Pa is 11401 Pines Blvd Ste 220, , Pembroke Pines, Florida and the contact number is 954-432-5515 and fax number is --. The mailing address for Lakes Mall Dental Center , Pa is 1830 S Ocean Dr Apt 2204, , Hallandale Beach, Florida - 33009-7695 (mailing address contact number - 305-951-9988).


Provider Profile Details:
Clinic NameLakes Mall Dental Center , Pa
Provider OrganizationLAKES MALL DENTAL CENTER , PA
Address11401 Pines Blvd Ste 220, ,
Pembroke Pines
Florida, 33026-4104
Phone Number954-432-5515
Fax Number--
Authorized Official NameDr. Erik O Calderon
Authorized Official Title/PositionPresident
Authorized Official Contact Number305-951-9988
NPI Number Details:
NPI Number1063757912
Provider Enumeration Date12/04/2012
Last Update Date01/04/2021
Provider Business Mailing Address Details:
Address1830 S Ocean Dr Apt 2204,
CityHallandale Beach
StateFlorida
Zip33009-7695
Phone Number305-951-9988
Fax Number--
Provider's Primary Taxonomy Details:
TypeDental Providers
SpecialityDentist - General Practice
Taxonomy1223G0001X
Licence No.19377 (Florida)

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