Provider Demographics
NPI:1518172881
Name:BROWARD DENTAL ASSOCIATES
Entity Type:Organization
Organization Name:BROWARD DENTAL ASSOCIATES
Other - Org Name:DR DULAY & ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJVINDER
Authorized Official - Middle Name:
Authorized Official - Last Name:DULAY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:954-722-9020
Mailing Address - Street 1:8333 W MCNAB RD
Mailing Address - Street 2:SUITE 126
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-3242
Mailing Address - Country:US
Mailing Address - Phone:954-722-9020
Mailing Address - Fax:
Practice Address - Street 1:8333 W MCNAB RD
Practice Address - Street 2:SUITE 126
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-3242
Practice Address - Country:US
Practice Address - Phone:954-722-9020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL165401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty