MEDICARE: OAKLAND DENTAL, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1104034503
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OAKLAND DENTAL, LLC

Provider Business Mailing Address
First Line	:	4416 W. OAKLAND PARK BLVD
Second Line	:
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33313
Country	:	US
Telephone Number	:	954-486-0101
Fax Number	:	954-486-0588

Provider Business Practice Location Address
First Line	:	4416 W. OAKLAND PARK BLVD
Second Line	:
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33313
Country	:	US
Telephone Number	:	954-486-0101
Fax Number	:	954-486-0588

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. ROBERT ARON
Credential	:	DDS
Telephone Number	:	954-486-0101

Provider Enumeration Date	:	05/18/2007
Last Update Date	:	07/14/2010

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Directions to “OAKLAND DENTAL, LLC ” Practice Location

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