Provider Demographics
NPI:1568125961
Name:DS DENTAL CARE 2 PLLC
Entity Type:Organization
Organization Name:DS DENTAL CARE 2 PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTANA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:954-456-2100
Mailing Address - Street 1:2879 S UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-1440
Mailing Address - Country:US
Mailing Address - Phone:954-890-2879
Mailing Address - Fax:954-363-0625
Practice Address - Street 1:2879 S UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-1440
Practice Address - Country:US
Practice Address - Phone:954-890-2879
Practice Address - Fax:954-363-0625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-21
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental