Healthcare Provider Details

I. General information

NPI: 1770775884
Provider Name (Legal Business Name): MANAL HILALI DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2007
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10151 W COMMERCIAL BLVD
SUNRISE FL
33351-4327
US

IV. Provider business mailing address

10151 W. COMMERCIAL BLVD.
TAMARAC FL
33321
US

V. Phone/Fax

Practice location:
  • Phone: 954-720-0701
  • Fax: 954-722-0780
Mailing address:
  • Phone: 954-720-0701
  • Fax: 954-722-0780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number18133
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: