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NPI Code Detail

MEDICARE: DR. LAURENTIU TEODORU D.M.D.

MEDICARE: DR. LAURENTIU TEODORU D.M.D.
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
11223G0001XGeneral Practice DentistryDN15330FL

General Provider Information

NPI Number : 1649503004
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAURENTIU TEODORU D.M.D.
Provider Business Mailing Address
First Line : 866 N FEDERAL HWY
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33062-4316
Country : US
Telephone Number : 954-748-7771
Fax Number : 954-748-7776
Provider Business Practice Location Address
First Line : 866 N FEDERAL HWY
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33062-4316
Country : US
Telephone Number : 954-748-7771
Fax Number : 954-748-7776
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2009
Last Update Date : 09/16/2009

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