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NPI Code Detail

MEDICARE: LIFE DENTAL CARE

MEDICARE: LIFE DENTAL CARE
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
1302F00000XExclusive Provider OrganizationDN17931FL

General Provider Information

NPI Number : 1659660066
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFE DENTAL CARE
Provider Business Mailing Address
First Line : 123 N POWERLINE RD
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33442-8037
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 123 N POWERLINE RD
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33442-8037
Country : US
Telephone Number : 954-429-8840
Fax Number :
Authorized Official
Title or Position : DENTIST
Name : DR. MARIA TOIRAC
Credential :
Telephone Number : 954-429-8840
Provider Enumeration Date : 04/06/2011
Last Update Date : 04/06/2011

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Directions to “LIFE DENTAL CARE ” Practice Location

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