Provider Demographics
NPI:1700457694
Name:SAUNDERS DENTAL, PLLC
Entity Type:Organization
Organization Name:SAUNDERS DENTAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:P
Authorized Official - Last Name:SAUNDERS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:954-309-2323
Mailing Address - Street 1:560 SW 182ND WAY
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-4319
Mailing Address - Country:US
Mailing Address - Phone:954-309-2323
Mailing Address - Fax:
Practice Address - Street 1:6180 W SAMPLE RD STE 109
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067-3274
Practice Address - Country:US
Practice Address - Phone:954-227-2718
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-01
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty