Provider Demographics
NPI:1548950231
Name:ALL FAMILY DENTAL LLC
Entity type:Organization
Organization Name:ALL FAMILY DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KALINA
Authorized Official - Middle Name:
Authorized Official - Last Name:UZUNOVA-DIMOVA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:754-300-9592
Mailing Address - Street 1:10620 GRIFFIN RD STE 108
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-3213
Mailing Address - Country:US
Mailing Address - Phone:754-300-9592
Mailing Address - Fax:
Practice Address - Street 1:10620 GRIFFIN RD STE 108
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-3213
Practice Address - Country:US
Practice Address - Phone:754-300-9592
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-08
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty