Provider Demographics
NPI:1003022393
Name:ALL DENTAL SERVICES INC.
Entity Type:Organization
Organization Name:ALL DENTAL SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GERMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTANA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:954-927-1717
Mailing Address - Street 1:2544 VAN BUREN ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-4935
Mailing Address - Country:US
Mailing Address - Phone:954-927-1717
Mailing Address - Fax:954-925-5871
Practice Address - Street 1:2544 VAN BUREN ST.
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-6711
Practice Address - Country:US
Practice Address - Phone:954-927-1717
Practice Address - Fax:954-925-5871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN14149122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty