URREA-FELDSBERG DDS,MDS,PA
Dentist at Shady Oak Ln, Fort Lauderdale, FL

License number
Florida DN16226
Category
Dentist
Type
Pediatric Dentistry
Owner
Name: DR. HELENA URREA-FELDSBERG DDS,MDS
Title: PRESIDENT
Phone: (954) 966-7762
Address
Address
5440 Shady Oak Ln, Fort Lauderdale, FL 33312
National Provider ID: 1629253695
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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URREA-FELDSBERG DDS, MDS PA

Hollywood, FL  -  Fort Lauderdale, FL

Status:
Inactive
Industry:
Dentist's Office
Inactive reason:
AMENDMENT
Registration:
Mar 2, 2007
Inactive since:
Mar 9, 2007
Addresses:
12301 Taft St SUITE 300, Hollywood, FL 33026 (Physical)
5440 Shady Oak Ln, Fort Lauderdale, FL 33312
State ID:
P07000028132
Business type:
Florida Profit Corporation
Treasurer, Secretary, Vice Presidents:
Helena Urrea-Feldsberg (President), 5440 Shady Oak Ln, Fort Lauderdale, FL 33312 (Physical),Daniel Feldsberg (Treasurer, Secretary, Vice President), 5440 Shady Oak Ln, Fort Lauderdale, FL 33312 (Physical)
Agent:
Urrea-Feldsberg, Helena,12301 Taft St SUITE 300, Hollywood, FL 33026 (Physical)
EIN:
208577828

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