Provider Demographics
NPI:1225261597
Name:A DENTAL ART
Entity Type:Organization
Organization Name:A DENTAL ART
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ONWER
Authorized Official - Prefix:DR
Authorized Official - First Name:LINA
Authorized Official - Middle Name:F
Authorized Official - Last Name:NARBONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-578-8815
Mailing Address - Street 1:8903 W OAKLAND PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-7217
Mailing Address - Country:US
Mailing Address - Phone:954-578-8815
Mailing Address - Fax:954-578-8813
Practice Address - Street 1:8903 W OAKLAND PARK BLVD
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-7217
Practice Address - Country:US
Practice Address - Phone:954-578-8815
Practice Address - Fax:954-578-8813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-02
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL146321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty