Sawgrass Mills Mall Dental, PA
Sawgrass Mills Mall Dental, PA provides General Practice Dentistry in Sunrise, Florida. Registered with an NPI since 2009.
- In the registry since
- 2009
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
165 NW 136th Ave #C110Sunrise, FL 33325-2624
Phone: (954) 846-7171
Fax: (954) 846-7170
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1306088133 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rostislav Krasnov — Owner · (954) 846-7171 |
| NPI enumerated | March 25, 2009 |
| Last updated in NPPES | July 17, 2024 |
| Certification date | July 17, 2024 |
| Mailing address | 165 Nw 136th Ave, C110, Sunrise, FL 33325-2624 |
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