MEDICARE: MILTON TOMLINSON DMD

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	122300000X	Dentist	DN12114	FL

General Provider Information

NPI Number	:	1942607478
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MILTON TOMLINSON DMD

Provider Business Mailing Address
First Line	:	7548 W COMMERCIAL BLVD
Second Line	:
City	:	LAUDERHILL
State	:	FL
Zip	:	33319-2132
Country	:	US
Telephone Number	:	954-747-8649
Fax Number	:	954-747-6102

Provider Business Practice Location Address
First Line	:	7548 W COMMERCIAL BLVD
Second Line	:
City	:	LAUDERHILL
State	:	FL
Zip	:	33319-2132
Country	:	US
Telephone Number	:	954-747-8649
Fax Number	:	954-747-6102

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/26/2014
Last Update Date	:	11/26/2014

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Directions to “ MILTON TOMLINSON DMD” Practice Location

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