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PINES FAMILY DENTAL NPI 1962556514


NPI Information

NPI: 1962556514
Provider Name: PINES FAMILY DENTAL

Other Name: DR. RAUL LIZASO

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
20170 PINES BLVD STE 108
PEMBROKE PINES, FL
ZIP 33029
Phone: (954) 430-1717
Get Directions

PINES FAMILY DENTAL is a general practice dentist in Pembroke Pines, FL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. PINES FAMILY DENTAL NPI is 1962556514. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Dr. Raul Lizaso.

The provider's business location address is:

20170 PINES BLVD STE 108
PEMBROKE PINES, FL
ZIP 33029-202
Phone: (954) 430-1717
Fax: (954) 430-3049

The provider's authorized official is Raul Lizaso .
The authorized official title is Owner and has the following contact phone number (954) 430-1717.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeDN001496FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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