Provider Demographics
NPI:1740848647
Name:ALLURE DENTAL OF PLANTATION PLLC
Entity type:Organization
Organization Name:ALLURE DENTAL OF PLANTATION PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:NADIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAHOOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-446-5797
Mailing Address - Street 1:1945 N PINE ISLAND RD
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33322-5203
Mailing Address - Country:US
Mailing Address - Phone:954-473-9161
Mailing Address - Fax:
Practice Address - Street 1:1945 N PINE ISLAND RD
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33322-5203
Practice Address - Country:US
Practice Address - Phone:954-473-9161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-05
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty