MEDICARE: DENTAL TREASURE P.A.

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	261QD0000X	Dental Clinic/Center
2	261QD0000X	Dental Clinic/Center	DN17933	FL

General Provider Information

NPI Number	:	1730469776
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENTAL TREASURE P.A.

Provider Business Mailing Address
First Line	:	7301 WILES RD STE 101
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-4105
Country	:	US
Telephone Number	:	954-972-7827
Fax Number	:	954-972-7549

Provider Business Practice Location Address
First Line	:	7301 WILES RD STE 101
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-4105
Country	:	US
Telephone Number	:	954-972-7827
Fax Number	:	954-972-7549

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MALINALLY GARCIA
Credential	:	DDS
Telephone Number	:	954-972-7827

Provider Enumeration Date	:	08/22/2011
Last Update Date	:	04/28/2025

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