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NPI Code Detail

MEDICARE: SORIN DIMITRIU DDS PA

MEDICARE: SORIN DIMITRIU DDS PA
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
1122300000XDentistDN11961FL

General Provider Information

NPI Number : 1568576676
Entity Type Code : Organization
Provider Name (Legal Business Name) : SORIN DIMITRIU DDS PA
Provider Business Mailing Address
First Line : 1500 E HILLSBORO BLVD
Second Line : SUITE #208
City : DEERFIELD BEACH
State : FL
Zip : 33441-4355
Country : US
Telephone Number : 954-420-0551
Fax Number : 954-420-0073
Provider Business Practice Location Address
First Line : 1500 E HILLSBORO BLVD
Second Line : SUITE #208
City : DEERFIELD BEACH
State : FL
Zip : 33441-4355
Country : US
Telephone Number : 954-420-0551
Fax Number : 954-420-0073
Authorized Official
Title or Position : PRESIDENT
Name : SORIN DIMITRIU
Credential : DDS
Telephone Number : 954-420-0551
Provider Enumeration Date : 08/18/2006
Last Update Date : 06/18/2008

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Directions to “SORIN DIMITRIU DDS PA ” Practice Location

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