broward coconut creek pediatric...

68
BROWARD COUNTY/CONDADO BROWARD COCONUT CREEK Pediatric Dentist 6370 N State Road 7 Ste 115 Coconut Creek, FL 33073 (954) 866-4223 A & B Pediatric Dentists LLC Facility Number 055867 Aguilar, Liza Barba, Erica 4660 W Hillsboro Blvd Coconut Creek, FL 33073 (954) 428-1803 Dental Health Group Facility Number 011002 Brody, Robert Cortes, Gonzalo Hoffman, Tara Hogan, Helena Mercado, Carlos Rangel, Raul Shraiteh, Jenan Torres, Diana Yap Starkman, Sharlene 4400 W Sample Rd Ste 118 Coconut Creek, FL 33073 (954) 974-7778 Gurman K Sahi DMD PA Facility Number 032147 Sahi, Gurman 5350 W Hillsboro Blvd Ste 201 Coconut Creek, FL 33073 (954) 708-2157 Healthy Family Dentistry Facility Number 032390 Cruces, Manuel Garcia Leitao, Armando BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek, FL 33073 (954) 571-7123 Sage Dental Of Coconut Creek PLLC Facility Number 054418 Alvarado-Romero Pou, Melissa Alvarez, Jonathan Azari, Scott Bergquist, Michael Bratman, Jerry Buscemi, Amanda Castillo, Juan Chatani, Maria Childers, Carmen Coronado, Efrain Cowan, Marc Cruz, Antonio Daneshpajouh, Sara Darojat, Zuhdiyah Dean, Craig Draizin, Claudia Driscoll, Allison Duarte, Beatriz Durkan, Marcia Ehrenman, Jason Engelsberg, David Fernandez-Martinez, Mariangel Fox, Jeffrey Garcia-Porras, Marcela Garrison, Harvey Gedeon, Rose Ghattas, Maureen Gilbert, Mark Guerrero, Luis Gul, Yousaf Guthrie, Kelly Harrouff, Wade Horwitz, Steven Israel, Elie Juma, Zaileen Londono, Jennifer BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek, FL 33073 (954) 571-7123 Sage Dental Of Coconut Creek PLLC Facility Number 054418 Ma, Robert Mohr, Eric Moncrieffe, Tiffany Naguib, Michelle Napoli, Marisa Ortega, Laura Ortiz, Ana Ortiz Perez, Marta Pare, Elizabeth Perez-Alamo, Jennifer Planes, Alex Quick, James Rappaport, David Rezvani, Caroline Rieger, Eric Ring, Stephen Rodriguez, Margarita Roshkind, David Sanches, Melanie Shofnos, Charles Simpson, Natalie Sirage, Ahmed Snider, Erica Steiner, Samantha Strauss, Theodore Suarez, Henry Urquiza, Yeneir Van Duyne, Tracy Vazana, Todd Vera, Anny Weisbrot, Bruce Young, Summer Yu, Cynthia Ziegler, Neal Zylbering, Jason 1 of68Pages 1 08/29/2016

Upload: buithien

Post on 03-Apr-2018

221 views

Category:

Documents


2 download

TRANSCRIPT

Page 1: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

BROWARDCOUNTY/CONDADO

BROWARD

COCONUT CREEK

Pediatric Dentist

6370 N State Road 7 Ste 115Coconut Creek, FL 33073(954) 866-4223

A & B Pediatric Dentists LLC

Facility Number 055867

Aguilar, Liza

Barba, Erica

4660 W Hillsboro BlvdCoconut Creek, FL 33073(954) 428-1803

Dental Health Group

Facility Number 011002

Brody, Robert

Cortes, Gonzalo

Hoffman, Tara

Hogan, Helena

Mercado, Carlos

Rangel, Raul

Shraiteh, Jenan

Torres, Diana

Yap Starkman, Sharlene

4400 W Sample Rd Ste 118Coconut Creek, FL 33073(954) 974-7778

Gurman K Sahi DMD PA

Facility Number 032147

Sahi, Gurman

5350 W Hillsboro Blvd Ste 201Coconut Creek, FL 33073(954) 708-2157

Healthy Family Dentistry

Facility Number 032390

Cruces, Manuel

Garcia Leitao, Armando

BROWARD

COCONUT CREEK

Pediatric Dentist

5463 Lyons Rd Ste CCoconut Creek, FL 33073(954) 571-7123

Sage Dental Of Coconut Creek PLLC

Facility Number 054418

Alvarado-Romero Pou, Melissa

Alvarez, Jonathan

Azari, Scott

Bergquist, Michael

Bratman, Jerry

Buscemi, Amanda

Castillo, Juan

Chatani, Maria

Childers, Carmen

Coronado, Efrain

Cowan, Marc

Cruz, Antonio

Daneshpajouh, Sara

Darojat, Zuhdiyah

Dean, Craig

Draizin, Claudia

Driscoll, Allison

Duarte, Beatriz

Durkan, Marcia

Ehrenman, Jason

Engelsberg, David

Fernandez-Martinez, Mariangel

Fox, Jeffrey

Garcia-Porras, Marcela

Garrison, Harvey

Gedeon, Rose

Ghattas, Maureen

Gilbert, Mark

Guerrero, Luis

Gul, Yousaf

Guthrie, Kelly

Harrouff, Wade

Horwitz, Steven

Israel, Elie

Juma, Zaileen

Londono, Jennifer

BROWARD

COCONUT CREEK

Pediatric Dentist

5463 Lyons Rd Ste CCoconut Creek, FL 33073(954) 571-7123

Sage Dental Of Coconut Creek PLLC

Facility Number 054418

Ma, Robert

Mohr, Eric

Moncrieffe, Tiffany

Naguib, Michelle

Napoli, Marisa

Ortega, Laura

Ortiz, Ana

Ortiz Perez, Marta

Pare, Elizabeth

Perez-Alamo, Jennifer

Planes, Alex

Quick, James

Rappaport, David

Rezvani, Caroline

Rieger, Eric

Ring, Stephen

Rodriguez, Margarita

Roshkind, David

Sanches, Melanie

Shofnos, Charles

Simpson, Natalie

Sirage, Ahmed

Snider, Erica

Steiner, Samantha

Strauss, Theodore

Suarez, Henry

Urquiza, Yeneir

Van Duyne, Tracy

Vazana, Todd

Vera, Anny

Weisbrot, Bruce

Young, Summer

Yu, Cynthia

Ziegler, Neal

Zylbering, Jason

1 of68Pages1 08/29/2016

Page 2: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

BROWARDCOUNTY/CONDADO

BROWARD

COOPER CITY

General Dentist

9870 Griffin RdCooper City, FL 33328(954) 434-2700

Sage Dental of Davie PLLC

Facility Number 054388

Alvarado-Romero Pou, Melissa

Alvarez, Jonathan

Azari, Scott

Bergquist, Michael

Bratman, Jerry

Buscemi, Amanda

Castillo, Juan

Chatani, Maria

Childers, Carmen

Coronado, Efrain

Cowan, Marc

Cruz, Antonio

Daneshpajouh, Sara

Darojat, Zuhdiyah

Dean, Craig

Draizin, Claudia

Driscoll, Allison

Duarte, Beatriz

Durkan, Marcia

Ehrenman, Jason

Engelsberg, David

Fernandez-Martinez, Mariangel

Fox, Jeffrey

Garcia-Porras, Marcela

Garrison, Harvey

Gedeon, Rose

Ghattas, Maureen

Gilbert, Mark

Guerrero, Luis

Gul, Yousaf

Guthrie, Kelly

Harrouff, Wade

Horwitz, Steven

Israel, Elie

Juma, Zaileen

LePore, Krystina

BROWARD

COOPER CITY

General Dentist

9870 Griffin RdCooper City, FL 33328(954) 434-2700

Sage Dental of Davie PLLC

Facility Number 054388

Londono, Jennifer

Ma, Robert

Mohr, Eric

Moncrieffe, Tiffany

Naguib, Michelle

Napoli, Marisa

Newton, Emily

Ortega, Laura

Ortiz, Ana

Ortiz Perez, Marta

Pare, Elizabeth

Perez-Alamo, Jennifer

Planes, Alex

Quick, James

Rappaport, David

Rezvani, Caroline

Rieger, Eric

Ring, Stephen

Rodriguez, Margarita

Roshkind, David

Sanches, Melanie

Shofnos, Charles

Simpson, Natalie

Sirage, Ahmed

Snider, Erica

Strauss, Theodore

Suarez, Henry

Urquiza, Yeneir

Van Duyne, Tracy

Vazana, Todd

Vera, Anny

Vignola, Jennifer

Weisbrot, Bruce

Young, Summer

Yu, Cynthia

Ziegler, Neal

BROWARD

COOPER CITY

General Dentist

9870 Griffin RdCooper City, FL 33328(954) 434-2700

Sage Dental of Davie PLLC

Facility Number 054388

Zylbering, Jason

5121 SW 90th Ave #7Cooper City, FL 33328(954) 680-2237

Travel Dent Birns And Birns Pa

Facility Number 012094

Birns, Bradley

Greenspan-Birns, Robin

CORAL SPRINGS

General Dentist

10347 Royal Palm BlvdCoral Springs, FL 33065(954) 753-4101

Brian H Snyder DDS Pa

Facility Number 035444

Snyder, Brian

10196 W Sample RdCoral Springs, FL 33065(954) 752-4450

Coral Springs Dental Care

Facility Number 041529

Denis, Tamisha

6267 W Sample RdCoral Springs, FL 33067(954) 341-4766

CORAL SPRINGS FAMILY DENTISTRY OF AMERIC

Facility Number 003479

Stein, Ilya

2 of68Pages2 08/29/2016

Page 3: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

BROWARDCOUNTY/CONDADO

BROWARD

CORAL SPRINGS

General Dentist

2929 N University Dr Ste 203Coral Springs, FL 33065(954) 757-5353

Coral Springs Smiles PA

Facility Number 042325

Anand, Payal

7426 Wiles RdCoral Springs, FL 33067(954) 255-3500

Dental Excellence Corporation

Facility Number 042263

Bui, Anthony

1881 N University DrCoral Springs, FL 33071(954) 755-1014

Dental Health Group

Facility Number 017594

Brody, Robert

Choksi, Rachana

Haller, Dustin

Kashlan, Rania

Martinez, Amy

Vazana, Todd

Vignola, Jennifer

BROWARD

CORAL SPRINGS

General Dentist

9601 W Atlantic BlvdCoral Springs, FL 33071(954) 753-7400

Dentaland Coral Springs LLC

Facility Number 935201

Cohen, Michael

Dooley, Jill

Fishner, Neil

Fotek, Ilona

Hernandez, Shana

Hogan, Helena

Iurcovich, Maximillian

Landa, Rene

Lisi, Richard

Mccown, Michael

Morales, Ronald

Munoz, Numa

Rodriguez, Dario

Smith, Christina

Sutnick, Steven

Taha, Ahmed

Zusselman, Arnold

9955 NW 31st St Ste 201Coral Springs, FL 33065(954) 906-8177

DentistArt Group

Facility Number 054838

Carvalho, Sandra

2706 N University DrCoral Springs, FL 33065(954) 346-1075

Douglas Goldberg Dental Clinic

Facility Number 047978

Goldberg, Douglas

BROWARD

CORAL SPRINGS

General Dentist

5521 N University Dr Ste 101Coral Springs, FL 33067(954) 341-1000

Dr Nilesh Dalal Pa

Facility Number 056164

Leonard Jr, Thomas

10339 W Sample RdCoral Springs, FL 33065(954) 840-1939

FRANCESCO VULTAGGIO DMD

Facility Number 037692

Vultaggio, Francesco

8100 Royal Palm Blvd Ste 110Coral Springs, FL 33065(954) 255-5858

Goldent INC

Facility Number 053875

Panahi, Harry

9625 Westview DrCoral Springs, FL 33076(954) 227-1417

Magnolia Dental Clinic Inc

Facility Number 040151

Bretos, Alexander

Collazo, Ralph

7663 W Sample RdCoral Springs, FL 33065(954) 906-9756

Main Street Children's Dentistry and Orthodontics

Facility Number 055538

Levin, Shelly

Morin, Aline

3 of68Pages3 08/29/2016

Page 4: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

BROWARDCOUNTY/CONDADO

BROWARD

CORAL SPRINGS

General Dentist

987 N University DrCoral Springs, FL 33071(954) 753-4005

Sage Dental of Coral Springs PLLC

Facility Number 003442

Alvarado-Romero Pou, Melissa

Alvarez, Jonathan

Ayesh, Karima

Azari, Scott

Barba, Erica

Bergquist, Michael

Bratman, Jerry

Buscemi, Amanda

Castillo, Juan

Chatani, Maria

Cherkinsky, Jordan

Childers, Carmen

Cline, Jack

Coronado, Efrain

Cruz, Antonio

Daneshpajouh, Sara

Darojat, Zuhdiyah

Dean, Craig

Driscoll, Allison

Duarte, Beatriz

Durkan, Marcia

Fernandez-Martinez, Mariangel

Fox, Jeffrey

Garcia-Porras, Marcela

Garrison, Harvey

Gedeon, Rose

Ghattas, Maureen

Gilbert, Mark

Goldberg, Howard

Guerrero, Luis

Gul, Yousaf

Guthrie, Kelly

Hamed, Shirin

Helmy, James

Hoffman, Bruce

Horwitz, Steven

BROWARD

CORAL SPRINGS

General Dentist

987 N University DrCoral Springs, FL 33071(954) 753-4005

Sage Dental of Coral Springs PLLC

Facility Number 003442

Israel, Elie

Londono, Jennifer

Ma, Robert

Mohr, Eric

Moncrieffe, Tiffany

Naguib, Michelle

Napoli, Marisa

Ortega, Laura

Ortiz, Ana

Ortiz Perez, Marta

Pare, Elizabeth

Patel, Rita

Perez-Alamo, Jennifer

Planes, Alex

Quick, James

Rappaport, David

Rezvani, Caroline

Rieger, Eric

Ring, Stephen

Rodriguez, Margarita

Rodriguez, Ramon

Roshkind, David

Salazar, Cecilia

Sanches, Melanie

Schot, Raquel

Simpson, Natalie

Sirage, Ahmed

Snider, Erica

Steiner, Samantha

Strauss, Theodore

Truong, Xen

Urquiza, Yeneir

Van Duyne, Tracy

Vazana, Todd

Vera, Anny

Viener, Alfred

BROWARD

CORAL SPRINGS

General Dentist

987 N University DrCoral Springs, FL 33071(954) 753-4005

Sage Dental of Coral Springs PLLC

Facility Number 003442

Vignola, Jennifer

Wooldridge, Maria

Young, Summer

Yu, Cynthia

Ziegler, Neal

Zylbering, Jason

4 of68Pages4 08/29/2016

Page 5: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

BROWARDCOUNTY/CONDADO

BROWARD

CORAL SPRINGS

General Dentist

5810 Coral Ridge DrCoral Springs, FL 33076(954) 905-1290

Sage Dental Of Parkland PLLC

Facility Number 054409

Alvarado-Romero Pou, Melissa

Alvarez, Jonathan

Azari, Scott

Bergquist, Michael

Bratman, Jerry

Buscemi, Amanda

Castillo, Juan

Chatani, Maria

Childers, Carmen

Coronado, Efrain

Cowan, Marc

Cruz, Antonio

Daneshpajouh, Sara

Darojat, Zuhdiyah

Dean, Craig

Draizin, Claudia

Driscoll, Allison

Duarte, Beatriz

Durkan, Marcia

Ehrenman, Jason

Engelsberg, David

Fernandez-Martinez, Mariangel

Fox, Jeffrey

Garcia-Porras, Marcela

Garrison, Harvey

Gedeon, Rose

Ghattas, Maureen

Gilbert, Mark

Guerrero, Luis

Gul, Yousaf

Guthrie, Kelly

Harrouff, Wade

Horwitz, Steven

Israel, Elie

Juma, Zaileen

Lamb, Nicole

BROWARD

CORAL SPRINGS

General Dentist

5810 Coral Ridge DrCoral Springs, FL 33076(954) 905-1290

Sage Dental Of Parkland PLLC

Facility Number 054409

Londono, Jennifer

Ma, Robert

Mohr, Eric

Moncrieffe, Tiffany

Naguib, Michelle

Napoli, Marisa

Ortega, Laura

Ortiz, Ana

Ortiz Perez, Marta

Pare, Elizabeth

Perez-Alamo, Jennifer

Planes, Alex

Quick, James

Rappaport, David

Rezvani, Caroline

Rieger, Eric

Ring, Stephen

Rodriguez, Margarita

Roshkind, David

Sanches, Melanie

Shofnos, Charles

Simpson, Natalie

Snider, Erica

Steiner, Samantha

Strauss, Theodore

Suarez, Henry

Urquiza, Yeneir

Van Duyne, Tracy

Vazana, Todd

Vera, Anny

Vignola, Jennifer

Weisbrot, Bruce

Young, Summer

Yu, Cynthia

Ziegler, Neal

Zylbering, Jason

BROWARD

CORAL SPRINGS

General Dentist

8214 Wiles RdCoral Springs, FL 33067(954) 344-1999

TLC Dental Coral Springs PLC

Facility Number 040666

Coutras, Elevteria

Cunha, Renata

De Leon, Ennio

Elkind, Jaime

Ferguson, Caitlin

Gartner, Judith

Guthrie, Kelly

Helfant, Jared

Irving, Bizu

Lamb, Nicole

Lopez, Arnaldo

Mandel, Jonathan

Mingel, Marc

Muckey, Steve

Polhamus-Lopez, Melisa

Rios Ku Hop, Milagritos

Sorroza, Jennifer

Talchik Jr, Paul

Taveras, Myriam

Vilk-Shapiro, Dora

1700 N University Dr Ste 101Coral Springs, FL 33071(954) 344-8800

Union Dental

Facility Number 056480

Elefant, Jacob

Green, George

Santana, David

Shulman, Jared

5 of68Pages5 08/29/2016

Page 6: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

BROWARDCOUNTY/CONDADO

BROWARD

CORAL SPRINGS

General Dentist

12434 W Atlantic BlvdCoral Springs, FL 33071(954) 341-1888

Xiaofang Cheng DDS Pa

Facility Number 028573

Cheng, Xiaofang

DANIA

General Dentist

250 E Dania Beach BlvdDania, FL 33004(954) 922-1947

Atlantic Florida Dental

Facility Number 899701

Schopler, Thomas

BROWARD

DANIA

General Dentist

435 E Sheridan StDania, FL 33004(954) 926-5888

TLC Dental Dania LC

Facility Number 032420

Coutras, Elevteria

Cunha, Renata

De Leon, Ennio

Elkind, Jaime

Ferguson, Caitlin

Gartner, Judith

Guthrie, Kelly

Haratz, Zina

Helfant, Jared

Irving, Bizu

Jacobsohn, Henry

Lamb, Nicole

Lewis McKenzie, Andrea

Lopez, Arnaldo

Mandel, Jonathan

Mingel, Marc

Muckey, Steve

Polhamus-Lopez, Melisa

Rios Ku Hop, Milagritos

Sorroza, Jennifer

Talchik Jr, Paul

Taveras, Myriam

Vilk-Shapiro, Dora

DAVIE

General Dentist

5810 South University Dr #128Davie, FL 33328(954) 905-6633

Bello Dental Associates

Facility Number 055210

Bello, Jenny

BROWARD

DAVIE

General Dentist

2263 S University DrDavie, FL 33324(954) 475-0700

David A Sachs DDS Pa

Facility Number 039573

Sachs, David

5796 S University Dr Ste 102Davie, FL 33328(954) 248-2742

Davie Modern Dentistry

Facility Number 057036

Laska, Mario

McCann, Katie

2879 S University DrDavie, FL 33328(954) 474-2422

Dental Associates of Davie

Facility Number 039210

Corpas, Alfredo

2879 S University DrDavie, FL 33328(954) 474-2499

Fortune Smiles Inc

Facility Number 055821

Trujillo, Madelene

DEERFIELD BEACH

General Dentist

1874 W Hillsboro Blvd Ste ADeerfield Beach, FL 33442(954) 428-4575

Deerfield Dental Llc

Facility Number 010330

Aron, Robert

6 of68Pages6 08/29/2016

Page 7: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

BROWARDCOUNTY/CONDADO

BROWARD

DEERFIELD BEACH

General Dentist

841 SE 8th AveDeerfield Beach, FL 33441(954) 421-2122

Francesco Vultaggio DMD

Facility Number 055160

Vultaggio, Francesco

1800 W Hillsboro BlvdDeerfield Beach, FL 33442(954) 427-4321

Frank L Gober DDS Pa

Facility Number 886801

Gober, Franklyn

Habib, Mary

Laska, Mario

BROWARD

DEERFIELD BEACH

General Dentist

2265 W Hillsboro BlvdDeerfield Beach, FL 33442(954) 427-2436

Sage Dental Of Deerfield Beach PLLC

Facility Number 002109

Alvarado-Romero Pou, Melissa

Alvarez, Jonathan

Ayesh, Karima

Azar, Francisco

Azari, Scott

Barba, Erica

Bergquist, Michael

Bratman, Jerry

Buscemi, Amanda

Castillo, Juan

Chatani, Maria

Cherkinsky, Jordan

Childers, Carmen

Cline, Jack

Coronado, Efrain

Cruz, Antonio

Daneshpajouh, Sara

Darojat, Zuhdiyah

De Oliveira, Gisele

Dean, Craig

Driscoll, Allison

Duarte, Beatriz

Durkan, Marcia

Elefant, Jacob

Fernandez-Martinez, Mariangel

Fox, Jeffrey

Garcia-Porras, Marcela

Garrison, Harvey

Gedeon, Rose

Ghattas, Maureen

Gilbert, Mark

Goldberg, Howard

Gross, Allan

Guerrero, Luis

Gul, Yousaf

Guthrie, Kelly

BROWARD

DEERFIELD BEACH

General Dentist

2265 W Hillsboro BlvdDeerfield Beach, FL 33442(954) 427-2436

Sage Dental Of Deerfield Beach PLLC

Facility Number 002109

Hamed, Shirin

Helmy, James

Hoffman, Bruce

Horwitz, Steven

Juma, Zaileen

Londono, Jennifer

Ma, Robert

Mohr, Eric

Moncrieffe, Tiffany

Naguib, Michelle

Napoli, Marisa

Ortega, Laura

Ortiz, Ana

Ortiz Perez, Marta

Pare, Elizabeth

Patel, Rita

Perez-Alamo, Jennifer

Perkins, Lindsay

Planes, Alex

Quick, James

Rappaccioli, Coty

Rappaport, David

Rezvani, Caroline

Rieger, Eric

Ring, Stephen

Rodriguez, Margarita

Rodriguez, Ramon

Roshkind, David

Salazar, Cecilia

Sanches, Melanie

Schot, Raquel

Silberstein, Peter

Simpson, Natalie

Sirage, Ahmed

Steiner, Samantha

Strauss, Theodore

7 of68Pages7 08/29/2016

Page 8: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

BROWARDCOUNTY/CONDADO

BROWARD

DEERFIELD BEACH

General Dentist

2265 W Hillsboro BlvdDeerfield Beach, FL 33442(954) 427-2436

Sage Dental Of Deerfield Beach PLLC

Facility Number 002109

Suarez, Henry

Truong, Xen

Urquiza, Yeneir

Van Duyne, Tracy

Vazana, Todd

Vera, Anny

Viener, Alfred

Vignola, Jennifer

Villicana, Isabel

Weisbrot, Bruce

Wooldridge, Maria

Young, Summer

Yu, Cynthia

Ziegler, Neal

Zylbering, Jason

700 W Hillsboro Blvd Ste 1-109Deerfield Beach, FL 33441(754) 264-7264

Smiles Dental

Facility Number 057280

Atluri, Suneetha

FORT LAUDERDALE

General Dentist

1608 E Commercial BlvdFort Lauderdale, FL 33334(954) 489-1345

Adult & Geriatric Dental Care

Facility Number 030473

Baghdassarian-Mencia, Rosemary

BROWARD

FORT LAUDERDALE

General Dentist

700 SE 3rd Ave Ste 206Fort Lauderdale, FL 33316(954) 761-2230

Aids Health Care Foundation Inc

Facility Number 053665

Davis, Deborah

2740 E Commercial BlvdFort Lauderdale, FL 33308(954) 938-2447

American Dental of FL-Fort Lauderdale

Facility Number 045104

Fenton, Daniel

Szpoganicz, Tadeu

1600 N State Road 7 Ste 400Fort Lauderdale, FL 33313(954) 581-9228

Bassil Akel DMD PLLC

Facility Number 041839

Akel, Bassil

2826 East Oakland Park Blvd Ste 300Fort Lauderdale, FL 33306(954) 776-4720

Bayview Dental Assoc Pa

Facility Number 965101

Ciporkin, Peter

Villa, Rodolfo

2740 E Commercial BlvdFort Lauderdale, FL 33308(954) 938-2447

C Shane Roone

Facility Number 029650

Borda, Miguel

Roane, Christopher

BROWARD

FORT LAUDERDALE

General Dentist

3937 W Broward BlvdFort Lauderdale, FL 33312(954) 584-5031

Coast Florida Pa

Facility Number 042245

Naryshkin, George

Williams, Tosha

1201 N Federal Hwy Ste 2DFort Lauderdale, FL 33304(954) 566-4167

Dental Health Group

Facility Number 011914

Brody, Robert

Cortes, Gonzalo

Daneshpajouh, Sara

Frand, Joel

Garcia, Ricardo

4144 N Federal HwyFort Lauderdale, FL 33308(954) 565-3353

East Coral Dental Pa

Facility Number 042610

Diaz, Yanet

Dicrescento, Donna

Roca-Godinez, Lilian

6230 N Federal HwyFort Lauderdale, FL 33308(954) 916-7646

Frank Kalafatic DDS PLLC

Facility Number 045746

Kalafatic, Frank

Scott, John

6550 N Federal Hwy Ste 550Fort Lauderdale, FL 33308(954) 771-7007

Guilco Family Dental Inc

Facility Number 044857

Guilarte, Rhona

8 of68Pages8 08/29/2016

Page 9: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

BROWARDCOUNTY/CONDADO

BROWARD

FORT LAUDERDALE

General Dentist

1040 Weston Rd Ste 225Fort Lauderdale, FL 33326(954) 389-9500

H G Hosseini DDS Pa

Facility Number 960701

Hosseini, Heather

1332 SE 17th StFort Lauderdale, FL 33316(954) 763-4403

Jeremy Gerber DMD PA

Facility Number 037061

Gerber, Jeremy

1330 SE 4th Ave Ste KFort Lauderdale, FL 33316(954) 523-0566

Liliana Hernandez DDS

Facility Number 869001

Hernandez, Liliana

7115 W Broward Blvd Ste 155Fort Lauderdale, FL 33317(954) 474-8849

Main Street Childrens & Orthodon

Facility Number 054340

Akerman, Carolina

Correa, Paola

Munoz, Zulima

4800 NE 20th Ter Ste 301SFort Lauderdale, FL 33308(954) 727-9865

Maria V Chatani DMD Pa

Facility Number 017172

Chatani, Maria

5975 W Sunrise Blvd Ste 107Fort Lauderdale, FL 33313(954) 584-9500

Marino F Vigna

Facility Number 001306

Vigna, Marino

BROWARD

FORT LAUDERDALE

General Dentist

1209 W Broward BlvdFort Lauderdale, FL 33312(954) 763-3358

Michael R Barnard DDS Pa

Facility Number 915501

Barnard, Michael

Licina, Zeljka

Martinez-Marino, Anelisse

8218 Griffin RdFort Lauderdale, FL 33328(954) 680-2047

Pristine Dental Care Inc

Facility Number 052497

Benjamin, Reenu

3796 NW 19th StFort Lauderdale, FL 33311(954) 739-1430

Ravin Mehta DDS Pa

Facility Number 898101

Mehta, Ravindra

5400 N Federal HwyFort Lauderdale, FL 33308(954) 568-9788

Robert Stanton

Facility Number 011554

Stanton, Robert

BROWARD

FORT LAUDERDALE

General Dentist

551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301(954) 358-2722

Sage Dental of Downtown Ft Lauderdale

Facility Number 054960

Alvarado-Romero Pou, Melissa

Azari, Scott

Bergquist, Michael

Bockian, Joshua

Bratman, Jerry

Castillo, Juan

Childers, Carmen

Coronado, Efrain

Cowan, Marc

Cruz, Antonio

Daneshpajouh, Sara

Darojat, Zuhdiyah

Dean, Craig

Draizin, Claudia

Driscoll, Allison

Duarte, Beatriz

Durkan, Marcia

Fernandez-Martinez, Mariangel

Fox, Jeffrey

Garcia-Porras, Marcela

Garrison, Harvey

Ghattas, Maureen

Gilbert, Mark

Guerrero, Luis

Gul, Yousaf

Guthrie, Kelly

Israel, Elie

Juma, Zaileen

LePore, Krystina

Londono, Jennifer

Ma, Robert

Moncrieffe, Tiffany

Naguib, Michelle

Ortega, Laura

Ortiz, Ana

9 of68Pages9 08/29/2016

Page 10: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

BROWARDCOUNTY/CONDADO

BROWARD

FORT LAUDERDALE

General Dentist

551 N Federal Hwy Ste 900Fort Lauderdale, FL 33301(954) 358-2722

Sage Dental of Downtown Ft Lauderdale

Facility Number 054960

Pare, Elizabeth

Perez-Alamo, Jennifer

Planes, Alex

Quick, James

Rezvani, Caroline

Rieger, Eric

Ring, Stephen

Roshkind, David

Sanches, Melanie

Simpson, Natalie

Sirage, Ahmed

Snider, Erica

Steiner, Samantha

Strauss, Theodore

Urquiza, Yeneir

Van Duyne, Tracy

Vazana, Todd

Vignola, Jennifer

Weinstock, Rebeca-Ann

Young, Summer

Yu, Cynthia

Ziegler, Neal

Zylbering, Jason

BROWARD

FORT LAUDERDALE

General Dentist

6171 N Federal HwyFort Lauderdale, FL 33308(954) 641-5610

Sage Dental of Ft Lauderdale PLLC

Facility Number 054389

Alvarado-Romero Pou, Melissa

Alvarez, Jonathan

Azari, Scott

Bergquist, Michael

Bockian, Joshua

Bratman, Jerry

Buscemi, Amanda

Castillo, Juan

Chatani, Maria

Childers, Carmen

Coronado, Efrain

Cowan, Marc

Cruz, Antonio

Daneshpajouh, Sara

Darojat, Zuhdiyah

Dean, Craig

Draizin, Claudia

Driscoll, Allison

Duarte, Beatriz

Durkan, Marcia

Ehrenman, Jason

Engelsberg, David

Fernandez-Martinez, Mariangel

Fox, Jeffrey

Garcia-Porras, Marcela

Garrison, Harvey

Gedeon, Rose

Ghattas, Maureen

Gilbert, Mark

Guerrero, Luis

Gul, Yousaf

Guthrie, Kelly

Harrouff, Wade

Horwitz, Steven

Israel, Elie

Juma, Zaileen

BROWARD

FORT LAUDERDALE

General Dentist

6171 N Federal HwyFort Lauderdale, FL 33308(954) 641-5610

Sage Dental of Ft Lauderdale PLLC

Facility Number 054389

LePore, Krystina

Londono, Jennifer

Ma, Robert

Mohr, Eric

Moncrieffe, Tiffany

Naguib, Michelle

Napoli, Marisa

Ortega, Laura

Ortiz, Ana

Ortiz Perez, Marta

Perez-Alamo, Jennifer

Planes, Alex

Quick, James

Rappaport, David

Rezvani, Caroline

Rieger, Eric

Ring, Stephen

Rodriguez, Margarita

Roshkind, David

Sanches, Melanie

Shofnos, Charles

Simpson, Natalie

Sirage, Ahmed

Smith, Safiya

Snider, Erica

Steiner, Samantha

Strauss, Theodore

Suarez, Henry

Urquiza, Yeneir

Van Duyne, Tracy

Vazana, Todd

Vera, Anny

Vignola, Jennifer

Weisbrot, Bruce

Young, Summer

Yu, Cynthia

10 of68Pages10 08/29/2016

Page 11: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

BROWARDCOUNTY/CONDADO

BROWARD

FORT LAUDERDALE

General Dentist

6171 N Federal HwyFort Lauderdale, FL 33308(954) 641-5610

Sage Dental of Ft Lauderdale PLLC

Facility Number 054389

Ziegler, Neal

Zylbering, Jason

1740 E Commercial BlvdFort Lauderdale, FL 33334(954) 958-3584

Sandra Gomez-Trainor Pa

Facility Number 039196

Gomez, Sandra

1776 N Pine Island Rd Ste 300Fort Lauderdale, FL 33322(954) 916-9955

Sunrise Center for Dental Specialties

Facility Number 009505

Bautista, Enrico

Rodriguez, Esteban

Young, Lisa

900 NE 26th AveFort Lauderdale, FL 33304(954) 566-4208

Sunrise Intra Coastal Dental Cen

Facility Number 868601

Fahey, Dana

660 N State Road 7 Ste 12Fort Lauderdale, FL 33317(954) 583-4447

Superior Dental Plantation PC

Facility Number 053876

Douglas Sr, Richard

Montilla, Miguel

Plummer-Molina, Gillian

Santana, David

Simon, Gelsys

BROWARD

FORT LAUDERDALE

General Dentist

2609 W Oakland Park BlvdFort Lauderdale, FL 33311(954) 485-1170

The Dental Group

Facility Number 031132

Rivas-Plata, Jessica

Rodriguez-Martin, Henry

3001 E Commercial BlvdFort Lauderdale, FL 33308(954) 491-7100

TLC Dental Ft Lauderdale Lc

Facility Number 032419

Coutras, Elevteria

Cunha, Renata

De Leon, Ennio

Elkind, Jaime

Ferguson, Caitlin

Gartner, Judith

Guthrie, Kelly

Haratz, Zina

Helfant, Jared

Irving, Bizu

Jacobsohn, Henry

Lamb, Nicole

Lewis McKenzie, Andrea

Lopez, Arnaldo

Mandel, Jonathan

Mingel, Marc

Polhamus-Lopez, Melisa

Rios Ku Hop, Milagritos

Sorroza, Jennifer

Talchik Jr, Paul

Taveras, Myriam

Vilk-Shapiro, Dora

BROWARD

HALLANDALE

General Dentist

2100 E Hnd Bch Blvd Ste 303Hallandale, FL 33009(954) 456-5611

Hallandale Beach Dental Care

Facility Number 054641

Denis, Tamisha

Moncrieffe, Tiffany

226 S Dixie HwyHallandale, FL 33009(954) 454-3883

Janice Rooselle Defelice

Facility Number 041785

Ayala, Diana

Defelice, Janice

Gonzalez, Kelly

Quevedo, Fernando

2100 E Hallandale Beach Blvd Ste 305Hallandale, FL 33009(954) 454-4949

Smile Design Dental of Hallandale Beach LLC

Facility Number 056485

Vera, Nathalie

416 E Hallandale Beach BlvdHallandale, FL 33009(954) 457-8288

Stephen Rothenberg

Facility Number 819001

Rothenberg, Stephen

HOLLYWOOD

General Dentist

4350 Sheridan St Ste 201EHollywood, FL 33021(954) 964-4229

4350 Dental PA

Facility Number 055686

Bobadilla, Patricia

Peralta Lee, Johnny

11 of68Pages11 08/29/2016

Page 12: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

BROWARDCOUNTY/CONDADO

BROWARD

HOLLYWOOD

General Dentist

3911 Hollywood Blvd Ste 102Hollywood, FL 33021(954) 987-3344

All Care Dental

Facility Number 047970

Yeoshoua, Oded

2303 Hollywood BlvdHollywood, FL 33020(954) 927-1717

All Dental Services Inc

Facility Number 965901

Santana, German

5740 Hollywood Blvd Ste 400Hollywood, FL 33021(954) 544-2814

Amazing Dental

Facility Number 055888

Figueredo, Joel

3801 Hollywood Blvd Ste 225Hollywood, FL 33021(954) 921-7339

Dental Associates of Hollywood

Facility Number 029363

Berkowitz, Harry

Llapur, Carlos

Rezaie, Yeganeh

3800 S Ocean Dr Ste 210Hollywood, FL 33019(954) 458-9999

DG Dentistry

Facility Number 056986

Gorbatov, Dmitry

2219 Hollywood Blvd Ste 104Hollywood, FL 33020(954) 589-2176

Elite Dental Center

Facility Number 037653

Pelton, Ivan

BROWARD

HOLLYWOOD

General Dentist

3856 Sheridan StHollywood, FL 33021(954) 983-2450

Emerald Hills Dental Center

Facility Number 963101

Goldstein, Emily

Snow, Darren

Snow, Deborah

6720 Hollywood BlvdHollywood, FL 33024(954) 541-9796

Gateway Dental Inc

Facility Number 000022

Carballo, Rodolfo

Garcia-Fernandez, Aliuska

Herrera, Victoria

Miranda, Pablo

Perrotti, Steven

Pita, Reynaldo

Zamora, Lyan

2303 Hollywood Blvd Ste 14Hollywood, FL 33020(954) 367-5671

Hollywood Dental Care

Facility Number 055298

Askowitz, Ronald

7076 Taft StHollywood, FL 33024(954) 964-1494

Kelvin Lantigua DMD Pa

Facility Number 045329

Lantigua, Kelvin

10051 Pines Blvd Ste DHollywood, FL 33024(954) 391-8842

Lazcano Family Dental

Facility Number 055746

Lazcano, Maritza

BROWARD

HOLLYWOOD

General Dentist

9900 Stirling Rd Ste 100Hollywood, FL 33024(954) 432-8707

Main Street Childrens Dentistry

Facility Number 037958

Akerman, Carolina

Chatani, Maria

Chen, Timothy

Correa, Paola

Gallego, Ana

9449 Sheridan St # AHollywood, FL 33024(954) 885-9560

Mayco Dental Pa

Facility Number 040731

Massri, Abir

Romero, Ingrid

Yazji-Corey, May

1876 Radius Dr Ste 6Hollywood, FL 33020(954) 364-7626

Perfect Smile Llc

Facility Number 026614

Lyons, James

6805 Pembroke RdHollywood, FL 33023(954) 989-6950

Richard Oklin DMD Pa

Facility Number 003662

Oklin, Richard

6805 Pembroke RdHollywood, FL 33023(954) 989-6950

Ronald Oklin DDS

Facility Number 817301

Oklin, Richard

12 of68Pages12 08/29/2016

Page 13: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

BROWARDCOUNTY/CONDADO

BROWARD

HOLLYWOOD

General Dentist

12129 Sheridan StHollywood, FL 33026(954) 433-1888

Sage Dental of Cooper City PLLC

Facility Number 054417

Alvarado-Romero Pou, Melissa

Alvarez, Jonathan

Azari, Scott

Bergquist, Michael

Bockian, Joshua

Bratman, Jerry

Buscemi, Amanda

Castillo, Juan

Chatani, Maria

Childers, Carmen

Coronado, Efrain

Cowan, Marc

Cruz, Antonio

Daneshpajouh, Sara

Darojat, Zuhdiyah

Dean, Craig

Draizin, Claudia

Driscoll, Allison

Duarte, Beatriz

Durkan, Marcia

Ehrenman, Jason

Engelsberg, David

Fernandez-Martinez, Mariangel

Fox, Jeffrey

Garcia-Porras, Marcela

Garrison, Harvey

Gedeon, Rose

Ghattas, Maureen

Gilbert, Mark

Guerrero, Luis

Gul, Yousaf

Guthrie, Kelly

Harrouff, Wade

Horwitz, Steven

Israel, Elie

Juma, Zaileen

BROWARD

HOLLYWOOD

General Dentist

12129 Sheridan StHollywood, FL 33026(954) 433-1888

Sage Dental of Cooper City PLLC

Facility Number 054417

LePore, Krystina

Londono, Jennifer

Ma, Robert

Mohr, Eric

Moncrieffe, Tiffany

Naguib, Michelle

Napoli, Marisa

Ortega, Laura

Ortiz, Ana

Ortiz Perez, Marta

Pare, Elizabeth

Perez-Alamo, Jennifer

Planes, Alex

Quick, James

Rappaport, David

Rezvani, Caroline

Rieger, Eric

Ring, Stephen

Rodriguez, Margarita

Roshkind, David

Sanches, Melanie

Shofnos, Charles

Simpson, Natalie

Sirage, Ahmed

Snider, Erica

Steiner, Samantha

Strauss, Theodore

Suarez, Henry

Urquiza, Yeneir

Van Duyne, Tracy

Vazana, Todd

Vera, Anny

Vignola, Jennifer

Weisbrot, Bruce

Young, Summer

Yu, Cynthia

BROWARD

HOLLYWOOD

General Dentist

12129 Sheridan StHollywood, FL 33026(954) 433-1888

Sage Dental of Cooper City PLLC

Facility Number 054417

Ziegler, Neal

Zylbering, Jason

13 of68Pages13 08/29/2016

Page 14: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

BROWARDCOUNTY/CONDADO

BROWARD

HOLLYWOOD

General Dentist

4461 Sheridan StHollywood, FL 33021(954) 966-6352

Sage Dental of Hollywood PLLC

Facility Number 054342

Alvarado-Romero Pou, Melissa

Alvarez, Jonathan

Azari, Scott

Bergquist, Michael

Bockian, Joshua

Buscemi, Amanda

Castillo, Juan

Chatani, Maria

Childers, Carmen

Coronado, Efrain

Cowan, Marc

Cruz, Antonio

Daneshpajouh, Sara

Darojat, Zuhdiyah

Dean, Craig

Draizin, Claudia

Driscoll, Allison

Duarte, Beatriz

Durkan, Marcia

Ehrenman, Jason

Engelsberg, David

Fernandez-Martinez, Mariangel

Fox, Jeffrey

Garcia-Porras, Marcela

Gedeon, Rose

Ghattas, Maureen

Gilbert, Mark

Green, Beverly

Guerrero, Luis

Gul, Yousaf

Guthrie, Kelly

Harrouff, Wade

Horwitz, Steven

Israel, Elie

Juma, Zaileen

Lamb, Nicole

BROWARD

HOLLYWOOD

General Dentist

4461 Sheridan StHollywood, FL 33021(954) 966-6352

Sage Dental of Hollywood PLLC

Facility Number 054342

Londono, Jennifer

Ma, Robert

Mohr, Eric

Moncrieffe, Tiffany

Naguib, Michelle

Napoli, Marisa

Ortega, Laura

Ortiz, Ana

Ortiz Perez, Marta

Pare, Elizabeth

Perez-Alamo, Jennifer

Planes, Alex

Quick, James

Rappaport, David

Rezvani, Caroline

Rieger, Eric

Ring, Stephen

Rodriguez, Margarita

Roshkind, David

Sanches, Melanie

Shofnos, Charles

Simpson, Natalie

Sirage, Ahmed

Snider, Erica

Steiner, Samantha

Strauss, Theodore

Urquiza, Yeneir

Van Duyne, Tracy

Vazana, Todd

Vera, Anny

Young, Summer

Yu, Cynthia

Ziegler, Neal

Zylbering, Jason

BROWARD

LAUD LAKES

General Dentist

4416 W Oakland Park BlvdLaud Lakes, FL 33313(954) 486-0101

Oakland Dental Llc

Facility Number 008039

Aron, Robert

LAUDERHILL

General Dentist

2331 N State Road 7 Ste 109Lauderhill, FL 33313(954) 486-6989

Acosta Dental Services Of Lauder

Facility Number 026796

Acosta-Ortiz, Rodolfo

1249 N State Road 7Lauderhill, FL 33313(954) 584-2214

Dental Group Associates Pa

Facility Number 956401

Stein, Ilya

7100 W Commercial BlvdLauderhill, FL 33319(954) 741-6556

Fresh Dental Smiles

Facility Number 054817

Fallah, R

Luis, Deborah

4506 N University DrLauderhill, FL 33351(954) 742-0201

Gorfien & Jacobsohn Pa

Facility Number 873101

Gorfien, Joseph

Jacobsohn, Henry

14 of68Pages14 08/29/2016

Page 15: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

BROWARDCOUNTY/CONDADO

BROWARD

LAUDERHILL

General Dentist

7193 W Oakland Park BlvdLauderhill, FL 33313(954) 741-0102

Joel Karpel DDS Pa

Facility Number 952801

Karpel, Joel

4581 N University DrLauderhill, FL 33351(954) 826-4111

Sunrise Village Dental

Facility Number 056857

Cossrow, Steve

4300 N University DrLauderhill, FL 33351(954) 741-0346

Total Care Dental Inc

Facility Number 029514

Aron, Robert

LIGHTHOUSE POINT

General Dentist

3112 N Federal HwyLighthouse Point, FL 33064(954) 580-2200

Us-1 Dental Doctors

Facility Number 009732

Leibovici, Jacob

MARGATE

General Dentist

3207 N State Road 7 # 24Margate, FL 33063(954) 979-1357

All Care Dental

Facility Number 047971

Yeoshoua, Oded

BROWARD

MARGATE

General Dentist

1509 N State Road 7 Ste HMargate, FL 33063(954) 974-8550

American Dental Service Of Florida in Margate

Facility Number 030678

Boutsikos, Maria

6130 W Atlantic BlvdMargate, FL 33063(954) 973-0990

Bradley Roberts

Facility Number 951601

Roberts, Bradley

5522 W Sample RdMargate, FL 33073(954) 968-4466

Crescent Dental Pa

Facility Number 007506

Diaz, Yanet

Dicrescento, Donna

Garrett, Patrick

Roca-Godinez, Lilian

5609 NW 29th StMargate, FL 33063(954) 978-8866

Steven G Mautner DDS Pa

Facility Number 873201

Mautner, Steven

BROWARD

MIRAMAR

General Dentist

2905 SW 160th AveMiramar, FL 33027(954) 392-7051

Dental Health Group

Facility Number 018033

Brody, Robert

Christoph, Victor

Correa, Anelys

Cortes, Gonzalo

Dagan, Shachar

D'Alessandria, Nestor

Daneshpajouh, Sara

De La Rua, Lissette

Guerra, Daniel

Haller, Dustin

Hernandez, Shana

Hoffman, Tara

Hogan, Helena

Kashlan, Rania

Martinez, Amy

Robison, Jon

Rolland-Asensi, Gabriela

Suta, Adi

Yap Starkman, Sharlene

6890 Miramar PkwyMiramar, FL 33023(954) 987-4435

Randall T Califf

Facility Number 899501

Vinuela, Larry

12741 Miramar Pkwy Ste 203Miramar, FL 33027(954) 236-5273

Timothy P Chen DMD PA

Facility Number 034704

Chen, Timothy

Cozzarelli, Gina

15 of68Pages15 08/29/2016

Page 16: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

BROWARDCOUNTY/CONDADO

BROWARD

N LAUDERDALE

General Dentist

1401 S State Road 7 # 2CN Lauderdale, FL 33068(954) 979-2511

Rohitkumar S Patel

Facility Number 872301

Patel, Rohit

OAKLAND PARK

General Dentist

916 NE 62nd StOakland Park, FL 33334(954) 530-5674

Confident Smile PA

Facility Number 045544

Massri, Abir

1005 E Commercial BlvdOakland Park, FL 33334(954) 261-5665

Oakland Park Modern Dentistry

Facility Number 057156

Pham, Minh

PEMBROKE PINES

General Dentist

12311 Taft St Ste 2Pembroke Pines, FL 33026(954) 430-5700

Ahmad Ahmadi DMD

Facility Number 017621

Ahmadi, Ahmad

2301 N University Dr Ste 209Pembroke Pines, FL 33024(954) 894-2121

All About Teeth PA

Facility Number 035251

Crane, Steven

Plummer-Molina, Gillian

BROWARD

PEMBROKE PINES

General Dentist

18503 Pines Blvd Ste 208Pembroke Pines, FL 33029(954) 499-0033

Atria Dental Health Center

Facility Number 057037

Molina, Gustavo

Navarro, Jessica

19551 Sheridan StPembroke Pines, FL 33332(954) 621-7959

Bella Family Dental Inc

Facility Number 047988

Ruiz-Frontary, Yarimar

1601 N Flamingo Rd Ste 3Pembroke Pines, FL 33028(954) 437-7077

Chandy Samuel DDS Pa

Facility Number 035228

George, Sheryl

Sharma, Rohit

10271 Pines BlvdPembroke Pines, FL 33026(954) 447-0400

County Dental Corporation

Facility Number 047592

Blanco, Maria

DeSousa, Marvina

Irizarry, Maria

Luis, Michelle

Molina, Gustavo

Quesada, Pedro

Segrera, Maria

BROWARD

PEMBROKE PINES

General Dentist

12634 Pines BlvdPembroke Pines, FL 33027(954) 430-2300

Dental Care Group of Pembroke Pines PL

Facility Number 045366

Mars, Rick

140 S University DrPembroke Pines, FL 33025(954) 431-0004

Dental Health Group

Facility Number 880001

Brody, Robert

Christoph, Victor

Cortes, Bayardo

Cortes, Gonzalo

Garces, Carolina

Grandison, Nigel

Guerra, Daniel

Hoffman, Tara

Mercado, Carlos

Ortega, Fabiola

Patel, Rita

Vignola, Jennifer

Yap Starkman, Sharlene

17525 Pines BlvdPembroke Pines, FL 33029(954) 442-1884

Dental Smile LLC

Facility Number 052661

Orta, Ines

Salazar, Cecilia

17767 SW 2nd StPembroke Pines, FL 33029(954) 430-4334

Eugene Kravitz DDS

Facility Number AVITZ

Kravitz, Eugene

Kravitz, Lauren

16 of68Pages16 08/29/2016

Page 17: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

BROWARDCOUNTY/CONDADO

BROWARD

PEMBROKE PINES

General Dentist

9033 Taft StPembroke Pines, FL 33024(954) 437-0900

Horizon Dental Care

Facility Number 055244

Califf, Randall

10450 Taft StPembroke Pines, FL 33026(954) 431-0450

Igor Pasisnitchenko DDS Pa

Facility Number 035756

Pasisnitchenko, Igor

2076 N University DrPembroke Pines, FL 33024(954) 432-5700

Jorge I Solano DMD Pa

Facility Number 047954

Solano, Jorge

3 SW 129th Ave Ste 210Pembroke Pines, FL 33027(954) 450-6447

Jose Dominguez DDS Pa

Facility Number 035725

Dominguez, Jose

11401 Pines Blvd Ste 220Pembroke Pines, FL 33026(954) 432-5515

Lakes Mall Dental

Facility Number 044424

Calderon, Erik

294 NW 172nd AvePembroke Pines, FL 33029(954) 432-3655

Maniglia & De Sousa DMD PA

Facility Number 048864

DeSousa, Marvina

Maniglia, Marielba

BROWARD

PEMBROKE PINES

General Dentist

9001A Pembroke RdPembroke Pines, FL 33025(954) 437-6400

Natoya C Mclean DDS

Facility Number 028213

Assi, Tarek

Mclean, Natoya

10794 Pines BlvdPembroke Pines, FL 33026(954) 432-1607

Nigel D Grandison DDS

Facility Number 036968

Alempour, Samira

10796 Pines Blvd Ste 203Pembroke Pines, FL 33026(954) 499-1599

Oasis Dental Associates Pa

Facility Number 040692

Aleman, Alex

Cuartas, Sandra

Navarrete, Hansel

Ruiz, Saili

1806 N Flamingo Rd Ste 170Pembroke Pines, FL 33028(954) 437-2040

Pembroke Pines Dental Health Cen

Facility Number 957101

Carballo, Rodolfo

Erro, Juan

Faget, David

Haratz, Adela

Navarro, Jessica

BROWARD

PEMBROKE PINES

General Dentist

9001A Pembroke RdPembroke Pines, FL 33025(954) 437-6400

Pembroke Square Dental

Facility Number 056157

Abdelmonem, Rafah

Camejo, Joaquin

2212 N Flamingo RdPembroke Pines, FL 33028(954) 885-8762

Phen Dental Inc

Facility Number 001126

Phen, Yuchi

1541 N Palm AvePembroke Pines, FL 33026(954) 432-6133

Pines Dental Associates

Facility Number 948201

Mendez, Antonio

Ruiz, Milton

17868 NW 2nd StPembroke Pines, FL 33029(954) 538-0047

PINES DENTAL CARE INC .

Facility Number 048841

Molina, Gustavo

Prieto, Rolando

Rodriguez, Roxana

17 of68Pages17 08/29/2016

Page 18: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

BROWARDCOUNTY/CONDADO

BROWARD

PEMBROKE PINES

General Dentist

17027 Pines BlvdPembroke Pines, FL 33027(954) 704-0044

Sage Dental of Pembroke Pines PLLC

Facility Number 054391

Alvarado-Romero Pou, Melissa

Alvarez, Jonathan

Azari, Scott

Bergquist, Michael

Bratman, Jerry

Buscemi, Amanda

Castillo, Juan

Chatani, Maria

Childers, Carmen

Coronado, Efrain

Cowan, Marc

Cruz, Antonio

Daneshpajouh, Sara

Darojat, Zuhdiyah

Dean, Craig

Draizin, Claudia

Driscoll, Allison

Duarte, Beatriz

Durkan, Marcia

Ehrenman, Jason

Engelsberg, David

Fernandez-Martinez, Mariangel

Fox, Jeffrey

Garcia-Porras, Marcela

Garrison, Harvey

Gedeon, Rose

Ghattas, Maureen

Gilbert, Mark

Guerrero, Luis

Gul, Yousaf

Guthrie, Kelly

Harrouff, Wade

Horwitz, Steven

Israel, Elie

Juma, Zaileen

Lamb, Nicole

BROWARD

PEMBROKE PINES

General Dentist

17027 Pines BlvdPembroke Pines, FL 33027(954) 704-0044

Sage Dental of Pembroke Pines PLLC

Facility Number 054391

LePore, Krystina

Londono, Jennifer

Ma, Robert

Mohr, Eric

Moncrieffe, Tiffany

Naguib, Michelle

Napoli, Marisa

Ortega, Laura

Ortiz, Ana

Ortiz Perez, Marta

Pare, Elizabeth

Perez-Alamo, Jennifer

Planes, Alex

Quick, James

Rappaport, David

Rezvani, Caroline

Rieger, Eric

Ring, Stephen

Rodriguez, Margarita

Roshkind, David

Sanches, Melanie

Shofnos, Charles

Simpson, Natalie

Sirage, Ahmed

Snider, Erica

Steiner, Samantha

Strauss, Theodore

Suarez, Henry

Urquiza, Yeneir

Van Duyne, Tracy

Vazana, Todd

Vera, Anny

Vignola, Jennifer

Weisbrot, Bruce

Young, Summer

Yu, Cynthia

BROWARD

PEMBROKE PINES

General Dentist

17027 Pines BlvdPembroke Pines, FL 33027(954) 704-0044

Sage Dental of Pembroke Pines PLLC

Facility Number 054391

Ziegler, Neal

Zylbering, Jason

12333 NW 18th St Ste 4Pembroke Pines, FL 33026(954) 435-4100

Sam Eisenstein

Facility Number 951009

Eisenstein, Sam

17901 NW 5th St Ste 206Pembroke Pines, FL 33029(954) 430-2188

Tin Wai Hui DMD Pa

Facility Number 953901

Elperin, Alexei

Hui, Tin

Shather, Meriam

600 N Hiatus Rd Ste 103Pembroke Pines, FL 33026(954) 430-2580

Towncare Dental of Pembroke Pines PA

Facility Number 042858

Choksi, Rachana

Gober, Melvyn

Guzman, Nestor

Orta, Ines

Rodriguez, Esteban

Santiago-Herzog, Tatiana

Young, Lisa

18 of68Pages18 08/29/2016

Page 19: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

BROWARDCOUNTY/CONDADO

BROWARD

PEMBROKE PINES

General Dentist

1724 N University DrPembroke Pines, FL 33024(954) 432-8000

Value Dental Centers PA

Facility Number 029971

Aron, Robert

BROWARD

PLANTATION

Pediatric Dentist

8000 W Broward Blvd Ste 1123Plantation, FL 33388(954) 476-0802

Broward Mall Dental Pa

Facility Number 036932

Bond, Melanie

Bradley, Alijah

DIAZ, JANY

Fornos, Jorge

Fraga, Daynet

Gonzalez, Kelly

Gonzalez, Yanela

Gorfien, Joseph

Green, George

Guilarte, Rhona

Guthrie, Kelly

Hayate, Jessica

Kalai, Ronen

Kiani, Kamran

Kopynets, Viktor

Krasnov, Rostislav

Kunstmann, Vivian

Lago-Sanchez, Idelbis

Licina, Zeljka

Manzur, Kasim

Mutawalli, Khalid

Nelson, John

Ospina, Carolina

Pinto, Yenile

Quevedo, Fernando

Quevedo, Rachel

Ribot, Aliana

Saltz, Jamie

Sutnick, Steven

Uzunova-Dimova, Kalina

Valdman, Vadim

Weisser, Ettie

Zand, Maximus

BROWARD

PLANTATION

Pediatric Dentist

300 NW 70th Ave Ste 108Plantation, FL 33317(954) 792-4100

Dr Marcel Baghdadi Gegati

Facility Number 044996

Bagdadi Gegati, Marcel

7420 NW 5th St #101Plantation, FL 33317(954) 791-0330

Dr Smile PA

Facility Number 036451

Newman, Marcela

Pine, Philip

10167 W Sunrise Blvd Ste 101Plantation, FL 33322(954) 424-4600

Gentle Family Dentistry

Facility Number 877201

Gilson, Steven

600 S Pine Island Rd Ste 201Plantation, FL 33324(954) 577-3223

Jacaranda Dental

Facility Number 033180

Berger, Richard

Blardonis, Armando

150 N University Dr Ste 100Plantation, FL 33324(954) 473-4455

Jack Saban DDS Pa

Facility Number 872101

Saban, Jack

19 of68Pages19 08/29/2016

Page 20: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

BROWARDCOUNTY/CONDADO

BROWARD

PLANTATION

Pediatric Dentist

6905 W Broward Blvd Ste 101Plantation, FL 33317(954) 641-0414

James Kerns DMD Pllc

Facility Number 037966

Boutsikos, Maria

Kerns Jr, James

4101 S Hospital Dr Ste 4Plantation, FL 33317(954) 791-6700

L G James DMD Pa

Facility Number 964901

James, Larry

8962 Cleary BlvdPlantation, FL 33324(954) 915-8080

Michael J Friend DMD Pa

Facility Number 028204

Friend, Michael

1945 N Pine Island RdPlantation, FL 33322(954) 473-9161

Ongley Jacaranda Square Dentistry

Facility Number 014775

Ongley, Bettie

300 NW 70th Ave Ste 104Plantation, FL 33317(954) 327-8075

Plantation Dental Arts Assoc Pa

Facility Number 034946

Duarte, Fabiola

7115 W Broward BlvdPlantation, FL 33317(954) 474-8849

Plantation Dental Services Inc

Facility Number 012638

Akerman, Carolina

Munoz, Zulima

BROWARD

PLANTATION

Pediatric Dentist

314 S University DrPlantation, FL 33324(954) 474-8475

Plantation Dental Services, Inc

Facility Number 910101

Gallo, Donald

Mahal, Narinderjit

Rodriguez, Esteban

Suarez, Elisa

BROWARD

PLANTATION

Pediatric Dentist

8440 W Broward BlvdPlantation, FL 33324(954) 472-8707

Sage Dental Of Plantation PA

Facility Number 054413

Alvarado-Romero Pou, Melissa

Alvarez, Jonathan

Azari, Scott

Bergquist, Michael

Bockian, Joshua

Bratman, Jerry

Buscemi, Amanda

Castillo, Juan

Chatani, Maria

Childers, Carmen

Coronado, Efrain

Cowan, Marc

Cruz, Antonio

Daneshpajouh, Sara

Darojat, Zuhdiyah

Dean, Craig

Draizin, Claudia

Driscoll, Allison

Duarte, Beatriz

Durkan, Marcia

Ehrenman, Jason

Engelsberg, David

Fernandez-Martinez, Mariangel

Fox, Jeffrey

Garcia-Porras, Marcela

Garrison, Harvey

Gedeon, Rose

Ghattas, Maureen

Gilbert, Mark

Guerrero, Luis

Gul, Yousaf

Guthrie, Kelly

Harrouff, Wade

Horwitz, Steven

Israel, Elie

Juma, Zaileen

20 of68Pages20 08/29/2016

Page 21: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

BROWARDCOUNTY/CONDADO

BROWARD

PLANTATION

Pediatric Dentist

8440 W Broward BlvdPlantation, FL 33324(954) 472-8707

Sage Dental Of Plantation PA

Facility Number 054413

Lamb, Nicole

LePore, Krystina

Londono, Jennifer

Ma, Robert

Mohr, Eric

Moncrieffe, Tiffany

Naguib, Michelle

Napoli, Marisa

Ortiz, Ana

Ortiz Perez, Marta

Pare, Elizabeth

Perez-Alamo, Jennifer

Planes, Alex

Quick, James

Rappaport, David

Rezvani, Caroline

Rieger, Eric

Ring, Stephen

Rodriguez, Margarita

Roshkind, David

Sanches, Melanie

Shofnos, Charles

Simpson, Natalie

Sirage, Ahmed

Snider, Erica

Steiner, Samantha

Strauss, Theodore

Suarez, Henry

Urquiza, Yeneir

Van Duyne, Tracy

Vazana, Todd

Vera, Anny

Vignola, Jennifer

Young, Summer

Yu, Cynthia

Ziegler, Neal

BROWARD

PLANTATION

Pediatric Dentist

8440 W Broward BlvdPlantation, FL 33324(954) 472-8707

Sage Dental Of Plantation PA

Facility Number 054413

Zylbering, Jason

6738 W Sunrise Blvd Ste 105Plantation, FL 33313(954) 792-1857

The Dental Place Inc

Facility Number 050876

Robinson, Sharon

180 SW 84th Ave Ste DPlantation, FL 33324(954) 476-4535

Uttma S Dham DMD PA

Facility Number 032332

Dham, Uttma

POMPANO BEACH

General Dentist

2801 N University Dr Ste 202Pompano Beach, FL 33065(954) 227-8133

Academia Dental of Coral Springs PA

Facility Number 043372

Taskonak, Burak

2747 E Atlantic BlvdPompano Beach, FL 33062(954) 781-4670

Cyrus R Pettis DMD

Facility Number 056231

Kim, Hyuna

BROWARD

POMPANO BEACH

General Dentist

1650 N Federal HwyPompano Beach, FL 33062(954) 782-8620

Dental Team Of Pompano

Facility Number 029456

Ameer-Marx, Lisa

1600 E Atlantic BlvdPompano Beach, FL 33060(954) 782-1992

Philip A Pine DDS Pa

Facility Number 940901

Behar, Mark

Pine, Philip

2000 N Federal Hwy Ste 202Pompano Beach, FL 33062(954) 782-6800

Pompano Beach Dental

Facility Number 055902

Moncrieffe, Tiffany

831 W Sample RdPompano Beach, FL 33064(954) 943-6644

Pristine Dental Care Inc

Facility Number 052496

Benjamin, Reenu

21 of68Pages21 08/29/2016

Page 22: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

BROWARDCOUNTY/CONDADO

BROWARD

POMPANO BEACH

General Dentist

1650 N Federal Hwy #105Pompano Beach, FL 33062(954) 946-4867

Sage Dental of Pompano Beach PA

Facility Number 034929

Alvarado-Romero Pou, Melissa

Alvarez, Jonathan

Ayesh, Karima

Azar, Francisco

Azari, Scott

Barba, Erica

Bergquist, Michael

Bratman, Jerry

Buscemi, Amanda

Castillo, Juan

Chatani, Maria

Cherkinsky, Jordan

Childers, Carmen

Cline, Jack

Coronado, Efrain

Cruz, Antonio

Daneshpajouh, Sara

Darojat, Zuhdiyah

De Oliveira, Gisele

Dean, Craig

Driscoll, Allison

Duarte, Beatriz

Durkan, Marcia

Elefant, Jacob

Fernandez-Martinez, Mariangel

Fox, Jeffrey

Garcia-Porras, Marcela

Garrison, Harvey

Gedeon, Rose

Ghattas, Maureen

Gilbert, Mark

Goldberg, Howard

Gross, Allan

Guerrero, Luis

Gul, Yousaf

Guthrie, Kelly

BROWARD

POMPANO BEACH

General Dentist

1650 N Federal Hwy #105Pompano Beach, FL 33062(954) 946-4867

Sage Dental of Pompano Beach PA

Facility Number 034929

Hamed, Shirin

Hoffman, Bruce

Horwitz, Steven

Israel, Elie

Juma, Zaileen

Lamb, Nicole

Leminh, Chau

Londono, Jennifer

Ma, Robert

Mauskar, Sagar

Mohr, Eric

Moncrieffe, Tiffany

Naguib, Michelle

Napoli, Marisa

Ortiz, Ana

Ortiz Perez, Marta

Pare, Elizabeth

Patel, Rita

Perez-Alamo, Jennifer

Perkins, Lindsay

Planes, Alex

Quick, James

Rappaccioli, Coty

Rappaport, David

Rezvani, Caroline

Rieger, Eric

Ring, Stephen

Rodriguez, Margarita

Rodriguez, Ramon

Roshkind, David

Salazar, Cecilia

Sanches, Melanie

Schot, Raquel

Silberstein, Peter

Simpson, Natalie

Sirage, Ahmed

BROWARD

POMPANO BEACH

General Dentist

1650 N Federal Hwy #105Pompano Beach, FL 33062(954) 946-4867

Sage Dental of Pompano Beach PA

Facility Number 034929

Steiner, Samantha

Strauss, Theodore

Suarez, Henry

Teran, Libia

Urquiza, Yeneir

Van Duyne, Tracy

Vazana, Todd

Vera, Anny

Viener, Alfred

Vignola, Jennifer

Villicana, Isabel

Weisbrot, Bruce

Wooldridge, Maria

Young, Summer

Yu, Cynthia

Ziegler, Neal

Zylbering, Jason

22 of68Pages22 08/29/2016

Page 23: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

BROWARDCOUNTY/CONDADO

BROWARD

POMPANO BEACH

General Dentist

7110 Southgate BlvdPompano Beach, FL 33068(954) 724-8949

TLC Dental North Lauderdale LLC

Facility Number 032418

Coutras, Elevteria

Cunha, Renata

Elkind, Jaime

Ferguson, Caitlin

Gartner, Judith

Guthrie, Kelly

Haratz, Zina

Helfant, Jared

Irving, Bizu

Jacobsohn, Henry

Lamb, Nicole

Lewis McKenzie, Andrea

Lopez, Arnaldo

Mandel, Jonathan

Mingel, Marc

Muckey, Steve

Polhamus-Lopez, Melisa

Rios Ku Hop, Milagritos

Sorroza, Jennifer

Talchik Jr, Paul

Taveras, Myriam

Vilk-Shapiro, Dora

SUNRISE

General Dentist

6260 W Oakland Park BlvdSunrise, FL 33313(954) 742-7995

Broward Family Dental Care

Facility Number 026205

Fadavi, Sayed

BROWARD

SUNRISE

General Dentist

7800 W Oakland Park Blvd Ste 114FSunrise, FL 33351(954) 741-5006

Eric Mehler DDS Pa

Facility Number 047980

Mehler, Eric

10151 W Commercial BlvdSunrise, FL 33351(954) 720-0701

Gentle Dentistry Of Tamarac

Facility Number 029007

Hilali, Manal

Massri, Abir

10071 Sunset StripSunrise, FL 33322(954) 742-4600

HOWARD FINNK DDS PA

Facility Number 032389

Boillot, Kathy

Fien, Matthew

Finnk, Howard

Gilson, Seth

12578 W Sunrise BlvdSunrise, FL 33323(954) 851-9829

Randall T Califf

Facility Number 921601

Vinuela, Larry

12651 W Sunrise Blvd Ste 200Sunrise, FL 33323(954) 846-7000

Sawgrass Dental Center

Facility Number 014584

Wohlstein, Diana

BROWARD

SUNRISE

General Dentist

13713 W Sunrise Blvd #205Sunrise, FL 33323(954) 251-4849

Sawgrass Gentle Dentistry PA

Facility Number 046746

Rappaccioli, Coty

23 of68Pages23 08/29/2016

Page 24: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

BROWARDCOUNTY/CONDADO

BROWARD

SUNRISE

General Dentist

12801 W Sunrise Blvd #F222Sunrise, FL 33323(954) 846-7171

Sawgrass Mills Mall Dental

Facility Number 036933

Bond, Melanie

Bradley, Alijah

Di Re, Anthony

DIAZ, JANY

Durve, Aparna

Fornos, Jorge

Fraga, Daynet

Goldstein, Alexander

Gonzalez, Kelly

Gonzalez, Yanela

Gorfien, Joseph

Green, George

Guilarte, Rhona

Guthrie, Kelly

Jenkins, Shelane

Kalai, Ronen

Kiani, Kamran

Kopynets, Viktor

Krasnov, Rostislav

Kunstmann, Vivian

Lago-Sanchez, Idelbis

Licina, Zeljka

Mutawalli, Khalid

Nelson, John

Ospina, Carolina

Pinto, Yenile

Quevedo, Fernando

Quevedo, Rachel

Ribot, Aliana

Sutnick, Steven

Uzunova-Dimova, Kalina

Valdman, Vadim

Weisser, Ettie

Zand, Maximus

BROWARD

SUNRISE

General Dentist

10127 W Oakland Park BlvdSunrise, FL 33351(954) 741-7100

Welleby Family Dental

Facility Number 034702

Difilippo, Steven

Juma, Zaileen

Sevel, Dennis

9310 W Commercial BlvdSunrise, FL 33351(954) 648-2414

West Sunrise Dentistry

Facility Number 056213

Ferro, Claudia

Gombar, Anna

Gonzalez, Monica

Pham, Minh

1350 SW 160th AveSunrise, FL 33326(954) 385-9240

Weston Family Dental Center Inc

Facility Number 031848

Difilippo, Steven

Sevel, Dennis

TAMARAC

General Dentist

7030 NW 57th StTamarac, FL 33319(954) 722-1082

G & G Dental Associates Pa

Facility Number 838401

Arenas, Jorge

Gober, Melvyn

Rezaie, Azadeh

BROWARD

TAMARAC

General Dentist

6209 W Commercial Blvd Ste 6Tamarac, FL 33319(954) 726-3200

Harvey Moskowitz DMD PA

Facility Number 034860

Moskowitz, Harvey

4267 W Commercial BlvdTamarac, FL 33319(954) 677-3202

Metric Dental

Facility Number 053789

Rameau, Rejane

Siddiqui, Rasheed

24 of68Pages24 08/29/2016

Page 25: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

BROWARDCOUNTY/CONDADO

BROWARD

TAMARAC

General Dentist

5779 N University DrTamarac, FL 33321(954) 580-4848

Sage Dental of Tamarac PLLC

Facility Number 055729

Alvarado-Romero Pou, Melissa

Alvarez, Jonathan

Azari, Scott

Bergquist, Michael

Bockian, Joshua

Bratman, Jerry

Buscemi, Amanda

Castillo, Juan

Chatani, Maria

Childers, Carmen

Contestable, Clement

Coronado, Efrain

Cowan, Marc

Cruz, Antonio

Daneshpajouh, Sara

Darojat, Zuhdiyah

Dean, Craig

Draizin, Claudia

Driscoll, Allison

Duarte, Beatriz

Durkan, Marcia

Engelsberg, David

Fernandez-Martinez, Mariangel

Fox, Jeffrey

Garcia-Porras, Marcela

Garrison, Harvey

Ghattas, Maureen

Gilbert, Mark

Guerrero, Luis

Gul, Yousaf

Guthrie, Kelly

Harrouff, Wade

Israel, Elie

Juma, Zaileen

Lamb, Nicole

Londono, Jennifer

BROWARD

TAMARAC

General Dentist

5779 N University DrTamarac, FL 33321(954) 580-4848

Sage Dental of Tamarac PLLC

Facility Number 055729

Ma, Robert

Mohr, Eric

Moncrieffe, Tiffany

Naguib, Michelle

Ortega, Laura

Ortiz, Ana

Ortiz Perez, Marta

Pare, Elizabeth

Perez-Alamo, Jennifer

Planes, Alex

Quick, James

Rappaport, David

Rezvani, Caroline

Rieger, Eric

Ring, Stephen

Roshkind, David

Sanches, Melanie

Shofnos, Charles

Simpson, Natalie

Sirage, Ahmed

Snider, Erica

Sollee, Arthur

Steiner, Samantha

Strauss, Theodore

Urquiza, Yeneir

Van Duyne, Tracy

Vazana, Todd

Vignola, Jennifer

Weinstock, Rebeca-Ann

Young, Summer

Yu, Cynthia

Ziegler, Neal

Zylbering, Jason

BROWARD

TAMARAC

General Dentist

7351 W Oakland Park Blvd #102Tamarac, FL 33319(954) 742-5055

Tamarac Family Dental Center LLC

Facility Number 039554

Gordon, St Christopher

Sevel, Dennis

5473 N State Road 7Tamarac, FL 33319(954) 486-7025

Thaker & Shroff DDS Pa

Facility Number 920001

Thaker, Durgeshkumar

25 of68Pages25 08/29/2016

Page 26: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

BROWARD - MIAMI-DADECOUNTY/CONDADO

BROWARD

TAMARAC

General Dentist

6702 N University DrTamarac, FL 33321(954) 722-7711

TLC Dental Tamarac PLC

Facility Number 045331

Coutras, Elevteria

Cunha, Renata

De Leon, Ennio

Elkind, Jaime

Ferguson, Caitlin

Gartner, Judith

Guthrie, Kelly

Haratz, Zina

Helfant, Jared

Irving, Bizu

Jacobsohn, Henry

Lamb, Nicole

Lewis McKenzie, Andrea

Lopez, Arnaldo

Mandel, Jonathan

Mingel, Marc

Muckey, Steve

Polhamus-Lopez, Melisa

Rios Ku Hop, Milagritos

Sorroza, Jennifer

Talchik Jr, Paul

Taveras, Myriam

Vilk-Shapiro, Dora

5863 N University DrTamarac, FL 33321(954) 720-2444

True Original Smiles Inc

Facility Number 054291

Alston, Khadine

BROWARD

WESTON

General Dentist

4537 Weston RdWeston, FL 33331(951) 679-8664

Dental Health Group

Facility Number 018771

Brody, Robert

Correa, Anelys

De La Rua, Lissette

Garces, Carolina

Guerra, Daniel

Hoffman, Tara

Hogan, Helena

Torres, Diana

2721 Executive Park DrWeston, FL 33331(954) 385-5855

Dental Partners Of Weston

Facility Number 039966

Bretos, Alexander

2366 Weston RdWeston, FL 33326(954) 358-2822

Sage Dental of Weston PLLC

Facility Number 056401

Buscemi, Amanda

Chatani, Maria

Cruz, Antonio

Gedeon, Rose

Iturralde, Ignacio

Ortiz Perez, Marta

Ziegler, Neal

2863 Executive Park Dr Ste 101Weston, FL 33331(954) 217-1121

Samira Alempour DMD PA

Facility Number 048866

Alempour, Samira

BROWARD

WESTON

General Dentist

2751 Executive Park Dr Ste 204Weston, FL 33331(954) 217-0288

Weston Dental Associates

Facility Number 935601

Blardonis, Armando

MIAMI-DADE

AVENTURA

General Dentist

2999 NE 191st St Ste 804Aventura, FL 33180(305) 466-1804

Dental Options Pa

Facility Number 031831

Cruz-Elizundia, Delia

Del Castillo, Raymond

Gordon, Alexandra

Hernandez Acosta, Cristina

Kusnick, Steven

Martinez, Ernesto

Papir, Jessica

Rojas, Sandra

Rothstein, Eric

Szpoganicz, Tadeu

26 of68Pages26 08/29/2016

Page 27: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

MIAMI-DADECOUNTY/CONDADO

MIAMI-DADE

AVENTURA

General Dentist

19913 Biscayne BlvdAventura, FL 33180(305) 935-1400

DENTALAND AVENTURA LLC

Facility Number 813101

Cohen, Michael

Dagan, Shachar

Fishner, Neil

Fotek, Ilona

Friedman, Hyman

Hogan, Helena

Landa, Rene

Lisi, Richard

Mccown, Michael

Morales, Ronald

Munoz, Numa

Rodriguez, Dario

San Jorge, Alejandro

Schwartz, Edward

Smith, Christina

Taha, Ahmed

2925 Aventure Blvd #203Aventura, FL 33180(305) 931-5626

Diana Wohlstein DMD Pllc

Facility Number 049570

Wohlstein, Diana

19084 NE 29th AveAventura, FL 33180(305) 682-1554

Main Street Childrens Dentistry

Facility Number 012719

Akerman, Carolina

Levin, Shelly

Pellerano, Paola

MIAMI-DADE

AVENTURA

General Dentist

19086 NE 29th AveAventura, FL 33180(305) 682-1554

Main Street Childrens Dentistry

Facility Number 005915

Godoy, Yami

Guzman, Nestor

Llapur, Carlos

2630 NE 203rd St Ste 101Aventura, FL 33180(305) 931-1888

Shalom Amselem DDS Pa

Facility Number 923901

Amselem, Shalom

CORAL GABLES

General Dentist

151 Giralda AveCoral Gables, FL 33134(786) 452-1748

Dental Cosmetic Spa

Facility Number 054759

Alvarez, Elibeth

747 Ponce De Leon Blvd #401Coral Gables, FL 33134(305) 444-8591

Dental Group Of South Florida In

Facility Number 029449

Alvarez, Maria

806 Douglas Rd So Tower #150Coral Gables, FL 33134(305) 446-2226

Elizabeth De Aguirre DDS Pa

Facility Number 011399

De Aguirre, Elizabeth

MIAMI-DADE

CORAL GABLES

General Dentist

470 Biltmore Way Ste 200Coral Gables, FL 33134(305) 445-5515

Estetica Dental Gables Inc

Facility Number 042749

Valdes, Marilyn

3934 SW 8th St Ste 306Coral Gables, FL 33134(305) 441-7700

Gables Smile

Facility Number 057264

Rodriguez, Guillermo

401 Coral Way Ste 305Coral Gables, FL 33134(786) 360-6812

Gema Jerez Corp

Facility Number 051735

Hernandez-Jerez, Gema

299 Alhambra Cir Ste 202Coral Gables, FL 33134(305) 444-3074

Jubidental Services Corp

Facility Number BIDENT

Cotelo-Pardo, Yanepsi

401 Coral Way Ste 410Coral Gables, FL 33134(305) 446-5676

Karen Martinez DMD, PA

Facility Number 053995

Martinez, Karen

5171 SW 8th StCoral Gables, FL 33134(305) 567-0236

Lemus Dental Group LLC

Facility Number 056583

Lemus, Isel

27 of68Pages27 08/29/2016

Page 28: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

MIAMI-DADECOUNTY/CONDADO

MIAMI-DADE

CORAL GABLES

General Dentist

3190 Ponce De Leon BlvdCoral Gables, FL 33134(305) 774-7273

Manuel G Lopez DDS Pa

Facility Number 913801

Lopez, Manuel

4830 SW 8th StCoral Gables, FL 33134(305) 446-1067

Maria Cristina Fernandez DDS Pa

Facility Number 047600

Fernandez, Maria

299 Alhambra Cir Ste 205Coral Gables, FL 33134(305) 443-4841

Mariamilagros Sarda DDS Pa

Facility Number 934201

Sarda, Mariamilagros

34 SW 37th AveCoral Gables, FL 33134(305) 446-6900

Nicolas Avalos DMD Pa

Facility Number 031984

Avalos, Nicholas

CUTLER BAY

General Dentist

18543 S Dixie HwyCutler Bay, FL 33157(305) 259-9130

Alfredo D Corpas DDS

Facility Number 904201

Corpas, Alfredo

MIAMI-DADE

CUTLER BAY

General Dentist

11000 SW 211th StCutler Bay, FL 33189(305) 254-1500

BL Dental Associates LLC

Facility Number 047345

Amaya, Andres

Blardonis, Armando

Lopez, Manuel

Rosenberg, Sara

18543 S Dixie HwyCutler Bay, FL 33157(305) 259-9210

Fortune Smiles Inc

Facility Number 055835

Trujillo, Madelene

20505 South Dixie Hwy #1683Cutler Bay, FL 33189(305) 232-3737

Southland Mall Dental PA

Facility Number 040667

Fornos, Jorge

Guilarte, Rhona

Jenkins, Shelane

Kopynets, Viktor

Lago-Sanchez, Idelbis

Manzur, Kasim

Mutawalli, Khalid

Nelson, John

Ospina, Carolina

Quevedo, Rachel

Ribot, Aliana

Saldana, Ramon

Saltz, Jamie

Sirage, Mohamed

Sutnick, Steven

Valdman, Vadim

Vera, Nathalie

Weisser, Ettie

MIAMI-DADE

DORAL

General Dentist

10620 NW 19th StDoral, FL 33172(786) 331-7055

Doral Dental Partners

Facility Number 029341

Bretos, Alexander

Collazo, Ralph

28 of68Pages28 08/29/2016

Page 29: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

MIAMI-DADECOUNTY/CONDADO

MIAMI-DADE

DORAL

General Dentist

1455 NW 107th Ave Ste 584Doral, FL 33172(305) 597-8787

Miami International Mall Dental

Facility Number 037075

Bond, Melanie

Bradley, Alijah

DIAZ, JANY

Fornos, Jorge

Fraga, Daynet

Gonzalez, Kelly

Gonzalez, Yanela

Gorfien, Joseph

Green, George

Guilarte, Rhona

Guthrie, Kelly

Jenkins, Shelane

Kalai, Ronen

Kiani, Kamran

Kopynets, Viktor

Krasnov, Rostislav

Kunstmann, Vivian

Manzur, Kasim

Mutawalli, Khalid

Nelson, John

Ospina, Carolina

Quevedo, Fernando

Quevedo, Rachel

Ribot, Aliana

Saltz, Jamie

Sutnick, Steven

Uzunova-Dimova, Kalina

Valdman, Vadim

Weisser, Ettie

Zand, Maximus

MIAMI-DADE

DORAL

General Dentist

3601 NW 107th Ave 3rd FlDoral, FL 33178(786) 624-3368

Nicklaus Childrens Hospital

Facility Number 041292

Arevalo, Oscar

Bob, Christopher

Druteinis, Lesbia

Freitas, Vanessa

Garcia, Amarfis

Meincken, Melissa

Roldan, Rosie

Saverin, Michele

Trujillo, Maria

Webman, Mark

5335 NW 87th Ave Ste C103Doral, FL 33178(786) 456-1710

Sage Dental of Downtown Doral PLLC

Facility Number 057067

Brodsky, Mindy

Buscemi, Amanda

Chatani, Maria

Cruz, Antonio

Gilbert, Mark

Ortiz Perez, Marta

Ziegler, Neal

FLORIDA CITY

General Dentist

646 W Palm Dr Ste 200Florida City, FL 33034(305) 242-1200

The Family Dental Care Center

Facility Number 960001

De La Cruz, Alejandro

MIAMI-DADE

HIALEAH

General Dentist

7415 Miami Lakes DrHialeah, FL 33014(305) 512-0066

Alexandra D Gherbali DDS PA

Facility Number 029675

Gherbali, Alexandra

Gonzales, Kenia

4999 W 8th Ave Ste 1Hialeah, FL 33012(786) 238-7406

Alpha Dental Group Inc

Facility Number 052231

Bobadilla, Patricia

Soler, Rosa

1955 W 68th StHialeah, FL 33014(786) 257-1646

Amazing Touch Dental Care Corp.

Facility Number 056368

Herrera-Casas, Sunilda

Soler, Rosa

3233 Palm AveHialeah, FL 33012(305) 826-0660

BL Dental Associates LLC

Facility Number 047353

Amaya, Andres

Blardonis, Armando

Rosenberg, Sara

1700 W 68th StHialeah, FL 33014(305) 262-4604

Blanco Jamis Dental Group

Facility Number 057062

Blanco, Farid

Blanco, Jorge

Blanco, Kemel

29 of68Pages29 08/29/2016

Page 30: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

MIAMI-DADECOUNTY/CONDADO

MIAMI-DADE

HIALEAH

General Dentist

258 E 49th StHialeah, FL 33013(305) 824-3408

Blanco Jamis Dental Group Pa

Facility Number 046873

Blanco, Farid

Blanco, Jorge

Blanco, Kemel

Herrera-Casas, Sunilda

Lopez Perez, Victor

Molina Ariza, Yudisbel

4765 W 8th Ave Fl 4Hialeah, FL 33012(305) 262-4604

Blanco Jamis Dental Group Pa

Facility Number 046875

Blanco, Farid

Blanco, Jorge

Blanco, Kemel

Herrera-Casas, Sunilda

Lopez Perez, Victor

Molina Ariza, Yudisbel

6600 W 12th AveHialeah, FL 33012(305) 821-2611

Caplin & Gober DDS Pa

Facility Number 909701

Caravia, Amanda

Orta, Ines

Ramirez, Patricia

Rios, Libia

Romero_Melis, Mildred

15436 NW 77th CtHialeah, FL 33016(305) 557-5775

Carlos Quilichini DDS

Facility Number 036471

Quilichini, Carlos

MIAMI-DADE

HIALEAH

General Dentist

11300 NW 87th Ct Ste 141Hialeah, FL 33018(305) 364-8600

Century Medical Group Crop

Facility Number 035723

Caravia, Amanda

Carbot, Mario

Farrokhi, Ali

Hernandez-Jerez, Gema

Zawadzky, Javier

400 W 65th StHialeah, FL 33012(305) 827-0434

Children and Families Dental Center

Facility Number 056272

Lea Plaza, Rodolfo

1075 E 4th AveHialeah, FL 33010(305) 558-3811

Daniel A Dorrego DDS

Facility Number 918501

Benabe, Vanessa

Dorrego, Daniel

5190 NW 167th St Ste 216Hialeah, FL 33014(305) 624-4114

David Drobes DMD Pa

Facility Number 014682

Drobes, David

Hernandez-Jerez, Gema

Perez-Diaz, Agueda

Rivera, Ricardo Nicolas

MIAMI-DADE

HIALEAH

General Dentist

1573 W 49th StHialeah, FL 33012(305) 556-6100

Dental American Group Corp

Facility Number 047586

Agudelo, Monica

Blanco, Maria

Escobar, Carlos

Fundora, Yolaivys

Gonzalez, Lilian

Irizarry, Maria

Molina, Gustavo

Murillo, Herbert

Quesada, Pedro

Segrera, Maria

3750 W 16th Ave Ste 236UHialeah, FL 33012(305) 231-0545

Dental Center of Florida

Facility Number 037058

Abrahams, Howard

Hernandez-Jerez, Gema

5632 NW 167th StHialeah, FL 33014(305) 625-9777

Dental Dreams Llc

Facility Number 047936

Carpio, Jesus

3009 E 4th AveHialeah, FL 33013(305) 691-1616

Enrique Morales DDS Pa

Facility Number 914501

Morales, Enrique

30 of68Pages30 08/29/2016

Page 31: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

MIAMI-DADECOUNTY/CONDADO

MIAMI-DADE

HIALEAH

General Dentist

18482 NW 67th AveHialeah, FL 33015(305) 822-9696

Eugene Kravitz DDS

Facility Number 857601

Kravitz, Eugene

Kravitz, Lauren

3762 W 12th AveHialeah, FL 33012(305) 557-6661

Excellence In Dental Care

Facility Number 053859

Alvarez, Rosa

2750 W 68th St Ste 108Hialeah, FL 33016(305) 826-3255

Expert Smiles Center

Facility Number 011402

De Aguirre, Elizabeth

4890 W 3rd AveHialeah, FL 33012(305) 826-0906

Felicita Igleseias

Facility Number 054819

Iglesias, Felicita

4963 W 6th AveHialeah, FL 33012(305) 558-1171

Gilsa Henderson

Facility Number 044181

Henderson, Gilsa

MIAMI-DADE

HIALEAH

General Dentist

2900 W 12th Ave Ste 27Hialeah, FL 33012(305) 460-7060

Gomara DMD & Salcines DMD Pa

Facility Number 047042

Cruz, Karen

De Vera, Vanessa

Delgado, Ligming

Iglesias, Felicita

Maniglia, Marielba

Morgado, Aracelio

Saldarriaga, Lisa

1518 W 49th StHialeah, FL 33012(305) 823-2661

Haileah Dental Center PA

Facility Number 040209

Calderon, Erik

Kusnier, Elaine

922 E 25th StHialeah, FL 33013(786) 542-9700

Happy Smiles Dental Care

Facility Number 055060

Montenegro, Mauricio

3412 W 84th St Ste 110Hialeah, FL 33018(786) 345-2040

Healthy Smile Dental Care LLC

Facility Number 056867

Ramirez, Judex

2106 W 68th StHialeah, FL 33016(305) 827-6661

Hialeah Dental Associates

Facility Number 911901

Mendez, Antonio

Ruiz, Milton

MIAMI-DADE

HIALEAH

General Dentist

4240 W 16th AveHialeah, FL 33012(305) 823-1882

Hialeah Dental Care Inc

Facility Number 048494

Rodriguez, Roxana

Soler, Rosa

1770 W 68th StHialeah, FL 33014(305) 821-7008

Hialeah Dental Office Of Dr Lest

Facility Number 047543

Lester, Manuel

4186 W 12th AveHialeah, FL 33012(305) 556-6291

Hialeah Square Dental Assoc Pa

Facility Number 910001

Aguilar, Lina

Caravia, Amanda

Kusnier, Elaine

Mahal, Narinderjit

Martin, Felipe

Martinez, Tamara

Maya, Alvardo

Orta, Ines

Rios, Libia

Romero_Melis, Mildred

266 E 49th StHialeah, FL 33013(305) 823-9982

Jose Calvo

Facility Number 053979

Calvo Jr, Jose

Zamora, Lyan

31 of68Pages31 08/29/2016

Page 32: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

MIAMI-DADECOUNTY/CONDADO

MIAMI-DADE

HIALEAH

General Dentist

3918 W 12th AveHialeah, FL 33012(305) 556-1770

Jose M Del Valle DDS Pa

Facility Number 036066

Del Valle, Jose

6450 W 21st Ct Ste 300Hialeah, FL 33016(305) 821-2261

Juan M Garcia

Facility Number 825801

Garcia, Juan

1570 W 43rd Pl Ste 38Hialeah, FL 33012(305) 823-5375

Julio Prieto DDS Pa

Facility Number 054268

Prieto, Julio

3333 W 4th AveHialeah, FL 33012(305) 556-3512

L Felipe Felipe DDS Pa

Facility Number 047135

Felipe, Luis

614 E 49th StHialeah, FL 33013(305) 846-9126

Liliana M Angulo Dental Family Practice PA

Facility Number 024120

Angulo, Liliana

4999 W 8th Ave Ste 28Hialeah, FL 33012(305) 556-6055

Lizaso & Lizaso DDS Pa

Facility Number 053677

Lizaso-Rodriguez, Susan

MIAMI-DADE

HIALEAH

General Dentist

5924 W 16th AveHialeah, FL 33012(305) 558-2133

M H Figueredo DMD Pa

Facility Number 024228

Figueredo, Maria

2140 W 68th St Ste 202Hialeah, FL 33016(305) 820-4080

Madeleine Castellanos Gonzalez D

Facility Number 962201

Gonzalez, Madeleine

7150 W 20th Ave Ste 103Hialeah, FL 33016(305) 556-9020

Main Street Childrens Dentistry

Facility Number 911609

Chen, Timothy

Litman, Teddi

Martinez, Aicmee

Munoz, Zulima

Rolland-Asensi, Gabriela

791 E 48th StHialeah, FL 33013(305) 769-0252

Manuel Costa

Facility Number 901401

Costa, Manuel

17701 NW 78th AveHialeah, FL 33015(305) 826-2758

Mayra G Betancourt DDS Inc

Facility Number 056839

Betancourt, Mayra

MIAMI-DADE

HIALEAH

General Dentist

2360 W 68th St Ste 124Hialeah, FL 33016(305) 825-7447

MJ Dental Office

Facility Number 055103

Fernandez-Dominguez, Giselle

Gil Araujo, Eduardo

568 Hialeah DrHialeah, FL 33010(305) 863-8995

Montero Dental Center Inc

Facility Number 036937

Montero, Alexander

2011 W 62nd StHialeah, FL 33016(786) 558-8637

New Era Dental PA

Facility Number 037098

Santos, Nataly

6710 Main St Ste 131Hialeah, FL 33014(305) 646-1630

Nury Rodriquez DDS PA

Facility Number 039522

Rodriguez, Nury

7150 W 20th Ave Ste 102Hialeah, FL 33016(305) 556-3313

Palm Dental Center Pa

Facility Number 925801

Diaz, Vivian

Martinez, Tamara

Sosa-Abella, Nancy

32 of68Pages32 08/29/2016

Page 33: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

MIAMI-DADECOUNTY/CONDADO

MIAMI-DADE

HIALEAH

General Dentist

8302 NW 103rd St Ste 206Hialeah, FL 33016(305) 556-9364

Pedro M Sanchez DDS Pa

Facility Number 056356

Sanchez, Pedro

1231 W 44th PlHialeah, FL 33012(305) 556-9919

Professional Dental Services Pa

Facility Number 053674

Arriola, Antonio

5864 NW 183rd StHialeah, FL 33015(305) 827-1700

Razar Dental Group 2 Inc

Facility Number 914101

Zardon, Ramon

15502 NW 77th CtHialeah, FL 33016(305) 822-7332

Royal Oaks Dental

Facility Number 029338

Bretos, Alexander

Collazo, Ralph

18652 NW 67th AveHialeah, FL 33015(305) 474-0400

Santos Dental PA

Facility Number 054146

Santos, Nataly

580 E 49th StHialeah, FL 33013(305) 557-6711

Smile Perfect Dental

Facility Number 031602

Cardenas, Elio

MIAMI-DADE

HIALEAH

General Dentist

148 Hialeah DrHialeah, FL 33010(786) 360-6262

Superior Dental Team

Facility Number 042353

Friedman, Rene

Lleo, Pedro

11300 NW 87th Ct Ste 166Hialeah, FL 33018(305) 364-9322

Sylvia Santana PA

Facility Number 056721

Berry, Wayne

Menendez, Nancy

Mentrasti, Sylvia

Perez, Idalmes

1935 W 60th StHialeah, FL 33012(305) 821-3344

Universal Dental Group

Facility Number 042800

Friedman, Rene

1075 E 4th AveHialeah, FL 33010(305) 558-3811

Vanessa M Benabe DMD Pa

Facility Number NESSA

Benabe, Vanessa

MIAMI-DADE

HIALEAH

General Dentist

1665 W 49th St Ste 1484Hialeah, FL 33012(305) 828-7779

Westland Mall Dental

Facility Number 036979

Bond, Melanie

Bradley, Alijah

DIAZ, JANY

Durve, Aparna

Fraga, Daynet

Gonzalez, Kelly

Gonzalez, Yanela

Gorfien, Joseph

Green, George

Guilarte, Rhona

Guthrie, Kelly

Jenkins, Shelane

Kalai, Ronen

Kiani, Kamran

Kopynets, Viktor

Krasnov, Rostislav

Kunstmann, Vivian

Lago-Sanchez, Idelbis

Licina, Zeljka

Manzur, Kasim

Mutawalli, Khalid

Nelson, John

Ospina, Carolina

Pinto, Yenile

Quevedo, Fernando

Quevedo, Rachel

Ribot, Aliana

Saldana, Ramon

Saltz, Jamie

Sutnick, Steven

Valdman, Vadim

Wahba, Dalia

Weisser, Ettie

Zand, Maximus

33 of68Pages33 08/29/2016

Page 34: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

MIAMI-DADECOUNTY/CONDADO

MIAMI-DADE

HIALEAH

General Dentist

1370 E 4th AveHialeah, FL 33010(305) 888-1458

World Dental Care Corp

Facility Number 043491

Hernandez, Idalia

Soler, Rosa

HOMESTEAD

General Dentist

925 NE 30th Ter Ste 118Homestead, FL 33033(305) 247-0099

Dental Associates Of Homestead

Facility Number 889701

Caravia, Amanda

Felipe, Veronica

Rodriguez, Esteban

Ruiz, Eliseo

Ruiz, Saili

Silvestry, Elvin

25001 SW 127th Ave Ste 208Homestead, FL 33032(305) 258-9838

Dental Services Of Homestead

Facility Number 051733

Marty, Rolando

MIAMI-DADE

HOMESTEAD

General Dentist

125 NE 8th St Ste 1Homestead, FL 33030(786) 243-2438

Gomara DMD & Salcines DMD Pa

Facility Number 047038

Cruz, Karen

De Vera, Vanessa

Delgado, Ligming

Fraga, Daynet

Gomara, Luis

Iglesias, Felicita

Maniglia, Marielba

Martinez, Milton

Morejon, Hector

Morgado, Aracelio

Salcines, Damaris

Saldarriaga, Lisa

Valdes, Martha

809 NE 4th AveHomestead, FL 33030(305) 248-3961

Homestead Family Dental Inc.

Facility Number 055921

Hernandez, Daynet

1690 NE 8th StHomestead, FL 33033(305) 246-1265

Leal Medical Center LLC

Facility Number 050285

Alvarez, Niurka

Gonzalez, Ana

127 NE 8th StHomestead, FL 33030(305) 245-0304

Nimia R Alvarez DDS

Facility Number 052629

Alvarez, Nimia

Barrera, Martha

San Juan, Carlos

MIAMI-DADE

HOMESTEAD

General Dentist

45 NW 8th StHomestead, FL 33030(305) 242-5223

Rolando Molina DDS Pa

Facility Number 033148

Molina, Rolando

30 NW 15th StHomestead, FL 33030(305) 245-9691

Yoan E Lobaina DMD

Facility Number 038295

Lobaina, Yoan

Morejon, Hector

Perez, Eunice

1619 NE 8th StHomestead, FL 33033(305) 247-9292

Zoraida T Sanchez DDS Pa

Facility Number 033764

Sanchez, Zoraida

MIAMI

General Dentist

636 NW 183rd StMiami, FL 33169(305) 652-8338

183Rd Dental Group Pa

Facility Number 054284

Smith, Todd

19517 NW 57th AveMiami, FL 33055(305) 621-3111

Acadia Family Dental Ortho and Implant Ctr LLC

Facility Number 036759

Gordon, St Christopher

Sevel, Dennis

34 of68Pages34 08/29/2016

Page 35: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

MIAMI-DADECOUNTY/CONDADO

MIAMI-DADE

MIAMI

General Dentist

14609 SW 104th StMiami, FL 33186(305) 388-3725

Ada L Penate DDS Pa

Facility Number A L PE

Penate, Ada

3944 W Flagler StMiami, FL 33134(305) 445-1405

Amaury Rodriguez DDS

Facility Number 043854

Rodriguez, Amaury

1505 NW 167th St Ste 100Miami, FL 33169(305) 625-5400

American Dental Center

Facility Number 056357

Abdelmonem, Rafah

Berry, Wayne

Rossen, Peter

8501 SW 124th Ave Ste 106Miami, FL 33183(305) 603-8086

Anabella Lopez PA

Facility Number 039974

Lopez, Anabelle

2611 SW 147th AveMiami, FL 33185(305) 554-8224

Angel Agreda DDS PA

Facility Number 026616

Agreda, Angel

10621 N Kendall Dr Ste 102Miami, FL 33176(305) 271-0510

Balmir Thevenin & Associates

Facility Number 883401

Balmir-Thevenin, Joelle

MIAMI-DADE

MIAMI

General Dentist

1449 W Flagler StMiami, FL 33135(305) 649-3500

Baro Family Dental Group Pa

Facility Number 007021

Baro, Rosemarie

15801 S Dixie Hwy #BMiami, FL 33157(305) 255-4140

Beautiful Smiles Palmetto Bay PA

Facility Number 048134

Baker, Amira

936 SW 82nd AveMiami, FL 33144(305) 269-1440

Becerras Family Dentistry Inc

Facility Number 028571

Becerra, Maria

2720 SW 97th Ave Apt 101Miami, FL 33165(786) 534-6917

Bella Smile Dentistry, LLC

Facility Number 056484

Ramos Mendoza, Jorge

8740 N Kendall Dr #220Miami, FL 33176(305) 270-8029

Best Dental Creations

Facility Number 042876

Ayala, Rita

Herdocia, Filiberto

8000 Biscayne BlvdMiami, FL 33138(786) 517-6127

Best Smile Dental Care

Facility Number 050935

Vidal, Maria

MIAMI-DADE

MIAMI

General Dentist

2600 W Flagler StMiami, FL 33135(305) 631-0660

BL Dental Associates LLC

Facility Number 047349

Amaya, Andres

Blardonis, Armando

Lopez, Manuel

Rosenberg, Sara

8608 Bird RdMiami, FL 33155(305) 551-3200

BL Dental Associates LLC

Facility Number 047351

Blardonis, Armando

Lopez, Manuel

Rosenberg, Sara

14788 SW 56th StMiami, FL 33185(786) 272-9170

Blanco Jamis Dental Group

Facility Number 055925

Blanco, Farid

Blanco, Jorge

Blanco, Kemel

Herrera-Casas, Sunilda

Lopez Perez, Victor

199 SW 12th Ave Ste 56Miami, FL 33130(786) 401-6024

Blanco Jamis Dental Group

Facility Number 046868

Blanco, Farid

Blanco, Jorge

Blanco, Kemel

Herrera-Casas, Sunilda

Lopez Perez, Victor

Torres, Ana

35 of68Pages35 08/29/2016

Page 36: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

MIAMI-DADECOUNTY/CONDADO

MIAMI-DADE

MIAMI

General Dentist

1695 SW 107th AveMiami, FL 33165(305) 262-4604

Blanco Jamis Dental Group Pa

Facility Number 057344

Blanco, Farid

Blanco, Jorge

Blanco, Kemel

18934 S Dixie HwyMiami, FL 33157(786) 581-8896

Blanco Jamis Dental Group Pa

Facility Number 046883

Blanco, Farid

Blanco, Jorge

Blanco, Kemel

Herrera-Casas, Sunilda

Lopez Perez, Victor

4155 SW 130th Ave Ste 104Miami, FL 33175(786) 476-0026

Blanco Jamis Dental Group Pa

Facility Number 046871

Blanco, Farid

Blanco, Jorge

Blanco, Kemel

Herrera-Casas, Sunilda

Lopez Perez, Victor

7801 Coral Way Ste 100Miami, FL 33155(305) 262-4604

Blanco Jamis Dental Group Pa

Facility Number 046876

Blanco, Farid

Blanco, Jorge

Blanco, Kemel

Herrera-Casas, Sunilda

Lopez Perez, Victor

MIAMI-DADE

MIAMI

General Dentist

8500 W Flagler St Ste 107AMiami, FL 33144(305) 262-4604

Blanco Jamis Dental Group Pa

Facility Number 046877

Blanco, Farid

Blanco, Jorge

Blanco, Kemel

Delgado, Kirenia

Herrera-Casas, Sunilda

Lopez Perez, Victor

9724 SW 40th StMiami, FL 33165(305) 262-4604

Blanco Jamis Dental Group Pa

Facility Number 046870

Blanco, Farid

Blanco, Jorge

Blanco, Kemel

Herrera-Casas, Sunilda

Lopez Perez, Victor

3601 Federal Hwy # 5Miami, FL 33137(305) 576-6611

Borinquen Health Care Ctr Inc

Facility Number 042949

Adler, Robert

Arenal, Franlix

Gutierrez, Carlos

Soheil, Michell

8500 W Flagler St Ste 104Miami, FL 33144(305) 226-0803

Carlos Fernandez DDS Pa

Facility Number 052935

Fernandez, Carlos

MIAMI-DADE

MIAMI

General Dentist

1490 NE Miami Gardens DrMiami, FL 33179(305) 949-5252

Carmen A Feoli DDS PA

Facility Number 037264

Castillo, Sandra

Feoli, Carmen

11440 N Kendall Dr Ste 103Miami, FL 33176(786) 803-8073

Champion Dental PA

Facility Number 000738

Champion, Derrick

8750 SW 144th St Ste 205Miami, FL 33176(305) 969-3122

Childrens Dental Center at Baptist Medical Plaza

Facility Number 972009

Litman, Teddi

Rolland-Asensi, Gabriela

Varon, Dina

7711 SW 62nd Ave Ste 101Miami, FL 33143(305) 397-8214

Christopher Bob DMD PA

Facility Number 056670

Bob, Christopher

8463 Bird RdMiami, FL 33155(305) 551-6714

Ciro A Martin DDS Pa

Facility Number 885401

Martin, Ciro

36 of68Pages36 08/29/2016

Page 37: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

MIAMI-DADECOUNTY/CONDADO

MIAMI-DADE

MIAMI

General Dentist

12550 Biscayne Blvd Ste 307Miami, FL 33181(305) 895-2191

Clifford Voltapetti DDS

Facility Number 878701

Voltapetti, Clifford

3510 Biscayne Blvd Ste 300Miami, FL 33137(305) 576-1234

Community Aids Resource Inc

Facility Number 042029

Casas, Maunel

1125 NW 22nd AveMiami, FL 33125(305) 649-6112

Complete Family Dental Care

Facility Number 034454

Lopez, Fermin

Puente, Katia

21457 NW 2nd AveMiami, FL 33169(305) 654-1234

Countyline Dental Llc

Facility Number 029705

Aron, Robert

4005 SW 152nd Ave Unit 2Miami, FL 33185(786) 409-5295

Deluxe Dental

Facility Number 056472

Diaz, Farah

MIAMI-DADE

MIAMI

General Dentist

10728 SW 72nd StMiami, FL 33173(305) 596-7155

Dental American Group Corp

Facility Number 047589

Duarte, Beatriz

Gonzalez, Lilian

Menendez Llera, Vivian

Murillo, Herbert

Ossa Gomez, Paola

13632 N Kendall DrMiami, FL 33186(305) 385-1442

Dental American Group Corp

Facility Number 047594

Ayala, Rita

Fundora, Yolaivys

Gonzalez, Lilian

Guerra Crespo, Beatriz

Hernandez, Christina

Trujillo, Madelene

11400 N Kendall Dr Ste 207Miami, FL 33176(305) 271-2254

Dental Associates Of Kendall

Facility Number 973901

Garcia, Cristina

Silvestry, Ailyn

Silvestry, Elvin

Tydir, Michelle

1620 NE 163rd StMiami, FL 33162(305) 956-7900

Dental Associates Of North Miami Beach

Facility Number 032426

Corpas, Alfredo

MIAMI-DADE

MIAMI

General Dentist

13400 SW 120 St Ste 310Miami, FL 33186(305) 255-9497

Dental Associates of West Kendall

Facility Number 033019

Diaz, Vivian

Tugendhat, Erika

8940 N Kendall Dr Ste 1001E & 1005eMiami, FL 33176(305) 271-3001

Dental Center At Baptist Pa

Facility Number 909901

Aguilar, Lina

Caravia, Amanda

Delima, Anacaona

Friedman, Rene

Litman, Teddi

Lubin, Victor

Manzur, Lamya

Sosa-Abella, Nancy

4500 NW 7th StMiami, FL 33126(305) 443-9206

Dental Group Of Miami Pa

Facility Number 011569

Calvo Jr, Jose

11336 SW 184th St Eureka DrMiami, FL 33157(305) 251-4262

Dental Group of South FL II

Facility Number 036530

Alvarez, Maria

101 Westward Dr #AMiami, FL 33166(305) 885-1357

Dental Group of South Florida III Inc

Facility Number 042387

Alvarez, Maria

37 of68Pages37 08/29/2016

Page 38: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

MIAMI-DADECOUNTY/CONDADO

MIAMI-DADE

MIAMI

General Dentist

11865 SW 26th St Ste C39Miami, FL 33175(305) 227-0600

Dental Health Group

Facility Number 012412

Aguilar, Liza

Brody, Robert

D'Alessandria, Nestor

De La Rua, Lissette

Le Bona, Daisy

Ortega, Fabiola

Patel, Rita

Pellerano, Paola

Rolland-Asensi, Gabriela

Suta, Adi

13876 SW 88th StMiami, FL 33186(305) 385-4215

Dental Health Group

Facility Number 935509

Aguilar, Liza

Brody, Robert

De La Rua, Lissette

Garcia, Ricardo

Le Bona, Daisy

Ortega, Fabiola

Patel, Rita

Suta, Adi

MIAMI-DADE

MIAMI

General Dentist

17301 NW 27th AveMiami, FL 33056(305) 624-1371

Dental Health Group

Facility Number 882109

Aguilar, Liza

Baitner, Jessica

Brody, Robert

Cardenas Sarracino, Astrid

Dagan, Shachar

D'Alessandria, Nestor

Garcia, Ricardo

Hoffman, Tara

Murphy, Candace

Ojeda Jr, Juan

Patel, Rita

Rolland-Asensi, Gabriela

Scott, Tessa

Shraiteh, Jenan

Suta, Adi

Yanes, Marnie

Yap Starkman, Sharlene

20335 Old Cutler Rd Ste 200Miami, FL 33189(305) 238-6777

Dental Health Group

Facility Number 042805

Barber, Janetxia

Brody, Robert

D'Alessandria, Nestor

Ferrer Torres, Dario

Gonzalez, Monica

Luis, Michelle

Manzur, Lamya

Pellerano, Paola

Suta, Adi

Torres, Diana

Viego, Rebecca

MIAMI-DADE

MIAMI

General Dentist

2501 SW 22nd StreetMiami, FL 33145(305) 858-2545

Dental Health Group

Facility Number 936001

Boss, Stephen

Brody, Robert

Correa, Anelys

Cortes, Gonzalo

D'Alessandria, Nestor

DiPastina, Angela

Garces, Carolina

Guerra, Daniel

Le Bona, Daisy

Marrero, Jaydee

Patel, Rita

Rolland-Asensi, Gabriela

Sirage, Mohamed

Suta, Adi

Yap Starkman, Sharlene

7300 N Kendall Dr Ste 110Miami, FL 33156(305) 670-4476

Dental Health Group

Facility Number 021345

Aguilar, Liza

Brody, Robert

Carrillo, Catalina

Cortes, Gonzalo

De La Rua, Lissette

Garces, Carolina

Le Bona, Daisy

Suta, Adi

38 of68Pages38 08/29/2016

Page 39: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

MIAMI-DADECOUNTY/CONDADO

MIAMI-DADE

MIAMI

General Dentist

9595 N Kendall Dr Ste 201Miami, FL 33176(305) 595-6411

Dental Health Group

Facility Number 042806

Brody, Robert

Garces, Carolina

Goral, Robert

5511 SW 8th StMiami, FL 33134(305) 264-1200

Dental Partners Of The Gables

Facility Number 029278

Coulter, Mark

11352 Quail Roost DrMiami, FL 33157(305) 969-2651

Dental Plus Inc

Facility Number 954301

Gonzalez, Carlos

Morales, Ronald

11770 SW 104th StMiami, FL 33186(786) 476-3586

Dentist at Market Square

Facility Number 055986

Sanchez, Reinaldo

6437 Bird RdMiami, FL 33155(305) 667-8887

Design A Smile

Facility Number 055801

Romay, Ricardo

MIAMI-DADE

MIAMI

General Dentist

4301 NW 7th AveMiami, FL 33127(305) 757-0541

Dwight E Wilson

Facility Number 875901

Wilson, Dwight

6741 SW 24 Street Ste 14Miami, FL 33153(305) 264-0747

East Coast Family Dental PA

Facility Number 043496

Calvo Jr, Jose

Caravia, Amanda

7171 Coral Way Ste 217Miami, FL 33155(305) 267-1620

Eddy A Mora DDS Pa

Facility Number 044050

Mora, Eugenio

Mora, Yosjany

8560 SW 8th StMiami, FL 33144(305) 262-0509

Edith Fernandez DMD PA

Facility Number 011553

Fernandez, Edith

9950 SW 107 Ave #201Miami, FL 33176(305) 595-4397

Egil Dental Corp

Facility Number 048672

Gil Araujo, Eduardo

7171 Coral Way Ste 217Miami, FL 33155(305) 267-1620

Eugenio A Mora DMD

Facility Number 044049

Mora, Eugenio

MIAMI-DADE

MIAMI

General Dentist

1125 NW 22nd AveMiami, FL 33125(305) 649-6112

Fermin R Lopez DDS PA Corp

Facility Number 034454

Lopez, Fermin

1199 W Flagler St Ste 7Miami, FL 33130(305) 324-5072

Flagler Dental Care LLC

Facility Number 034490

Eng, Martha

Hernandez, Daynet

Lopez, Fermin

Puente, Katia

11890 SW 8th St Ste 300Miami, FL 33184(305) 485-0072

Flores Dental Group PA

Facility Number 050577

Flores, Joan

9971 W Flagler St Ste 220Miami, FL 33174(786) 418-3074

Fontainebleau Dentistry

Facility Number 056431

Ferro, Claudia

Gombar, Anna

Gonzalez, Monica

McCann, Katie

Pham, Minh

160 NE 82nd StMiami, FL 33138(305) 756-7602

Franklin Casthely DDS

Facility Number 822701

Casthely, Franklin

39 of68Pages39 08/29/2016

Page 40: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

MIAMI-DADECOUNTY/CONDADO

MIAMI-DADE

MIAMI

General Dentist

9425 NE 6th AveMiami, FL 33138(305) 758-8755

Frederick J Nin DDS Pa

Facility Number 052283

Nin, Frederick

11880 SW 40th St Ste 215Miami, FL 33175(305) 552-1553

Gateway Dental Inc

Facility Number 056376

Carballo, Rodolfo

Garcia-Fernandez, Aliuska

Herrera, Victoria

Londono, Laura

Miranda, Pablo

Perrotti, Steven

Pita, Reynaldo

Zamora, Lyan

1399 NW 17th Ave #301Miami, FL 33125(305) 325-0050

Gateway Dental Inc

Facility Number 044104

Carballo, Rodolfo

Garcia-Fernandez, Aliuska

Herrera, Victoria

Miranda, Pablo

Perrotti, Steven

Pita, Reynaldo

Rojas, Raiko

Zamora, Lyan

MIAMI-DADE

MIAMI

General Dentist

2375 SW 27th AveMiami, FL 33145(305) 856-2300

Gateway Dental Inc

Facility Number 016492

Carballo, Rodolfo

Garcia-Fernandez, Aliuska

Herrera, Victoria

Miranda, Pablo

Perrotti, Steven

Pita, Reynaldo

Rojas, Raiko

Zamora, Lyan

6670 SW 117th AveMiami, FL 33183(305) 595-3400

Gentle Teeth of Kendall

Facility Number 052710

Siddiqui, Rasheed

2797 NE 207th St Ste 100Miami, FL 33180(305) 935-2797

Glicksman Mars & Grand Dental

Facility Number 044862

Glicksman, Joel

Mars, Rick

3811 SW 107th AveMiami, FL 33165(305) 387-4954

Gomara DMD & Salcines DMD Pa

Facility Number 047036

Cruz, Karen

De Vera, Vanessa

Delgado, Ligming

Gomara, Luis

Iglesias, Felicita

Maniglia, Marielba

Morgado, Aracelio

Saldarriaga, Lisa

MIAMI-DADE

MIAMI

General Dentist

4300 W Flagler St Ste 201Miami, FL 33134(305) 387-4954

Gomara DMD & Salcines DMD Pa

Facility Number 047043

Cruz, Karen

De Vera, Vanessa

Delgado, Ligming

Gomara, Luis

Iglesias, Felicita

Maniglia, Marielba

Morgado, Aracelio

Saldarriaga, Lisa

4750 NW 7th St Ste 1Miami, FL 33126(305) 460-7060

Gomara DMD & Salcines DMD Pa

Facility Number 047044

Delgado, Ligming

Gomara, Luis

Iglesias, Felicita

Maniglia, Marielba

Morgado, Aracelio

Saldarriaga, Lisa

9280 Hammocks Blvd Ste 102Miami, FL 33196(305) 387-5700

Hammocks Dental Group PA

Facility Number 038133

Agrawal, Ankur

Ayala, Rita

Calderon, Erik

7976 SW 8th StMiami, FL 33144(305) 266-4544

Happy Teeth Dental LLC

Facility Number 041591

Rodriguez, Alejandro

40 of68Pages40 08/29/2016

Page 41: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

MIAMI-DADECOUNTY/CONDADO

MIAMI-DADE

MIAMI

General Dentist

477 NW 27th AveMiami, FL 33125(305) 541-8884

Holistic Dental Corporation

Facility Number 033232

Mierisch, Otto

Montero, Alexander

127 NW 12th AveMiami, FL 33128(305) 325-1771

Howard Levine DDS Pa

Facility Number 968001

Levine, Howard

10768 SW 24th StMiami, FL 33165(305) 220-3777

Ivette Guillermo DMD Pa

Facility Number 004151

Guillermo, Ivette

3945 SW 92nd AveMiami, FL 33165(305) 220-0066

Jadent Inc

Facility Number 054764

Arocha, Josefina

Diaz, Yanet

1525 SW 87th AveMiami, FL 33174(305) 220-1866

Javier A Andrade DDS

Facility Number 037824

Andrade, Javier

7171 Coral Way #401Miami, FL 33155(305) 264-9191

JCF DENTAL SERVICES PA

Facility Number 035886

Flores, Juan

MIAMI-DADE

MIAMI

General Dentist

1378 Coral Way Ste 500Miami, FL 33145(305) 856-1178

Jessica Eagan DDS

Facility Number 042819

Eagan, Jessica

18360 NW 7th AveMiami, FL 33169(305) 694-6270

Jessie Trice Community Health Center Inc

Facility Number 054862

Bridge, Donna

George, Deborah

Perdigon-Cangahuala, Nitza

5361 NW 22nd AveMiami, FL 33142(305) 637-6400

Jessie Trice Community Health Center Inc

Facility Number 054859

Bridge, Donna

George, Deborah

Perdigon-Cangahuala, Nitza

5607 NW 27th Ave # 2Miami, FL 33142(305) 636-3336

Jessie Trice Community Health Center Inc

Facility Number 054858

Bridge, Donna

George, Deborah

Perdigon-Cangahuala, Nitza

MIAMI-DADE

MIAMI

General Dentist

1470 NW 107th Ave Ste GMiami, FL 33172(305) 594-8666

Jm Dental Group Inc

Facility Number 920601

Hernandez, Norberto

13155 SW 42nd St Ste 101Miami, FL 33175(305) 222-8999

Jorge Luis Dominguez DDS

Facility Number 003915

Dominguez, Jorge

730 NW 40th AveMiami, FL 33126(305) 541-7626

Jose E Ribas DDS Pa

Facility Number 925401

Ribas, Jose

5711 SW 137th AveMiami, FL 33183(305) 387-3232

Juan C Gonzalez DMD

Facility Number 056676

Gonzalez, Juan

17996 SW 97th AveMiami, FL 33157(305) 235-5954

Juan F Quintero DMD Pa

Facility Number 002462

Quintero, Juan

9580 Bird RdMiami, FL 33165(305) 223-0949

Juan R Riso DDS Pa

Facility Number 912301

Rios, Juan

41 of68Pages41 08/29/2016

Page 42: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

MIAMI-DADECOUNTY/CONDADO

MIAMI-DADE

MIAMI

General Dentist

1450 W Flagler StMiami, FL 33135(305) 649-7800

Kleber A Loor DDS Pa

Facility Number 040962

Loor, Kleber

10721 W Flagler StMiami, FL 33174(305) 225-3452

Laguna Dental Corp

Facility Number 047591

Diaz, Farah

Duarte, Beatriz

Eduardo, Jose

Gonzalez, Lilian

Guerra Crespo, Beatriz

Segrera, Maria

Trujillo, Madelene

11254 SW 137th AveMiami, FL 33186(305) 386-7337

Landent DMD PA

Facility Number 042981

Lantigua, Carlos

7399 Coral WayMiami, FL 33155(305) 261-7661

Lanster Dental Assoc

Facility Number 846301

Lanster, Robert

Lanster, Steven

5870 SW 8th St Ste 5Miami, FL 33144(305) 266-0011

Liana Puig DDS Pa

Facility Number 039549

Puig, Liana

MIAMI-DADE

MIAMI

General Dentist

330 SW 27th Ave Ste 602Miami, FL 33135(305) 644-3464

Luis M Santamarina DMD

Facility Number 850301

Santamarina, Luis

8805 SW 144th StMiami, FL 33176(305) 253-6944

Main Street Childens Dentistry A

Facility Number 905709

Chatani, Maria

Chen, Timothy

Landa, Jorge

Munoz, Zulima

Ortega, Fabiola

Rolland-Asensi, Gabriela

Rosenbaum, Ashley

Smitley, Michelle

Tugendhat, Erika

Varon, Dina

7887 N Kendall Dr Ste 200Miami, FL 33156(305) 275-6224

Main Street Childrens Dentistry

Facility Number 972109

Correa, Paola

Litman, Teddi

Menendez, Elena

3934 SW 8th St Ste 205Miami, FL 33134(305) 444-1842

Maria A Rodriguez

Facility Number 918401

Rodriguez, Maria

MIAMI-DADE

MIAMI

General Dentist

5845 W Flagler StMiami, FL 33144(305) 261-8025

Mayra Sanchez DDS Pa

Facility Number 912401

Sanchez, Mayra

7200 NW 7th St Ste 333Miami, FL 33126(305) 823-1882

MED DENTAL ASSOCIATES INC

Facility Number 000725

Balboa, Rafael

Rodriguez, Roxana

1031 Ives Dairy RdMiami, FL 33179(305) 652-7702

Merritt D Halem DDS Pa

Facility Number 955501

Halem, Merritt

975 Arthur Godfrey RdMiami, FL 33140(305) 532-1728

Miami Beach Dental Center

Facility Number 036809

Delima, Anacaona

3850 Bird Rd Ste 301Miami, FL 33146(305) 445-9244

Miami Childrens Smiles Pa

Facility Number 030266

Rolland-Asensi, Gabriela

14609 SW 104th StMiami, FL 33186(305) 388-3725

Moises Cabrera DDS Pa

Facility Number 053790

Cabrera, Moises

42 of68Pages42 08/29/2016

Page 43: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

MIAMI-DADECOUNTY/CONDADO

MIAMI-DADE

MIAMI

General Dentist

9299 SW 152nd St Ste 204Miami, FL 33157(305) 235-8912

Namoff & Fernandez Dental Office

Facility Number 011571

Fernandez, Aurelio

8500 W Flagler St Ste 101Miami, FL 33144(305) 552-5511

Namoff DDS & Fernandez DMD

Facility Number 011672

Fernandez, Aurelio

916 SW 67th AveMiami, FL 33144(305) 265-5811

Nayade Morell Dental Office

Facility Number 047584

Morell, Nayade

285 NW 27th Ave #21Miami, FL 33125(305) 649-9443

New Dental Care Corp

Facility Number 048873

Soler, Rosa

8400 SW 8th StMiami, FL 33144(305) 740-1496

New Life Dental

Facility Number 056764

Vasallo, Francisco

14138 SW 8th St Ste 1Miami, FL 33184(786) 717-7779

New Smiles Dental Associates

Facility Number 055283

Mendoza, Irenia

Vital, Danae

MIAMI-DADE

MIAMI

General Dentist

16125 NE 18th AveMiami, FL 33162(305) 949-2766

Next Dental Inc

Facility Number 054733

Figueredo, Joel

Haratz, Zina

Panchal, Darshan

Smith, Edwin

1235 SW 27th AveMiami, FL 33135(305) 642-7796

Norberto J Hernandez DDS Pa

Facility Number 946201

Hernandez, Norberto

12534 N Kendall DrMiami, FL 33186(305) 595-2335

Norman I Abolsky DDS Pa

Facility Number 918901

Abolsky, Norman

8501 SW 124th AveMiami, FL 33183(305) 279-9005

Oscar G Cascante

Facility Number 849001

Cascante, Oscar

16830 SW 88th StMiami, FL 33196(305) 388-4886

Paradise Lakes Family Dentist Inc

Facility Number 056359

Corpas, Alfredo

MIAMI-DADE

MIAMI

General Dentist

8100 SW 81st Dr Ste 180Miami, FL 33143(305) 274-3730

Paul E Plasky DDS Pa

Facility Number 005163

Plasky, Paul

9572 SW 137th AveMiami, FL 33186(305) 388-9229

Picasso Dental

Facility Number 057279

Rojas, Raiko

400 SW 27th AveMiami, FL 33135(305) 456-8046

Prayers DDS

Facility Number 031264

Cabrera Roca, Hector

10122 W Flagler StMiami, FL 33174(305) 226-3386

Professional Dental Group Llc

Facility Number 010064

Baro, Rosemarie

7900 NW 27th Ave # 275Miami, FL 33147(305) 693-7988

Professional Dental Solutions In

Facility Number 050576

Diaz, Gertrudis

Ramos, Luis

18600 NW 87th Ave Ste 125Miami, FL 33018(305) 829-0100

Progressive Dental Office Corp

Facility Number 034233

Montero, Alexander

43 of68Pages43 08/29/2016

Page 44: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

MIAMI-DADECOUNTY/CONDADO

MIAMI-DADE

MIAMI

General Dentist

15940 SW 137th AveMiami, FL 33177(305) 259-0080

Razar Dental Group Inc

Facility Number 947901

Zardon, Ramon

11760 SW 40 Street #317Miami, FL 33175(305) 552-0521

Rene E Rodriguez DMD

Facility Number 052773

Rodriguez, Rene

8200 SW 117th Ave Ste 106Miami, FL 33183(305) 598-6665

Ricardo Castaneda DMD

Facility Number 045101

Castaneda, Richardo

9541 SW 72nd StMiami, FL 33173(305) 595-1239

Richard Coba DMD PA

Facility Number 055125

Coba, Richard

815 NW 57th Ave Ste 301Miami, FL 33126(305) 448-8118

Roberto Sosa DDS Pa

Facility Number 033152

Sosa, Roberto

5991 SW 8th StMiami, FL 33144(305) 262-0505

Rolando Molina DDS Pa

Facility Number 033149

Molina, Rolando

MIAMI-DADE

MIAMI

General Dentist

6820 Bird RdMiami, FL 33155(786) 476-8711

Sage Dental of West Miami PLLC

Facility Number 055730

Alvarado-Romero Pou, Melissa

Alvarez, Jonathan

Azari, Scott

Bergquist, Michael

Bockian, Joshua

Bratman, Jerry

Buscemi, Amanda

Castellanos, Maritza

Castillo, Juan

Childers, Carmen

Contestable, Clement

Coronado, Efrain

Cowan, Marc

Cruz, Antonio

Daneshpajouh, Sara

Darojat, Zuhdiyah

Dean, Craig

Draizin, Claudia

Driscoll, Allison

Duarte, Beatriz

Durkan, Marcia

Engelsberg, David

Fernandez-Martinez, Mariangel

Fox, Jeffrey

Garcia-Porras, Marcela

Garrison, Harvey

Ghattas, Maureen

Gilbert, Mark

Guerrero, Luis

Gul, Yousaf

Guthrie, Kelly

Harrouff, Wade

Israel, Elie

Juma, Zaileen

Lamb, Nicole

Londono, Jennifer

MIAMI-DADE

MIAMI

General Dentist

6820 Bird RdMiami, FL 33155(786) 476-8711

Sage Dental of West Miami PLLC

Facility Number 055730

Ma, Robert

Mohr, Eric

Moncrieffe, Tiffany

Naguib, Michelle

Ortega, Laura

Ortiz, Ana

Ortiz Perez, Marta

Pare, Elizabeth

Perez-Alamo, Jennifer

Planes, Alex

Quick, James

Rappaport, David

Rezvani, Caroline

Rieger, Eric

Ring, Stephen

Roshkind, David

Sanches, Melanie

Shofnos, Charles

Simpson, Natalie

Sirage, Ahmed

Snider, Erica

Sollee, Arthur

Steiner, Samantha

Strauss, Theodore

Urquiza, Yeneir

Van Duyne, Tracy

Vazana, Todd

Vignola, Jennifer

Weinstock, Rebeca-Ann

Young, Summer

Yu, Cynthia

Ziegler, Neal

Zylbering, Jason

44 of68Pages44 08/29/2016

Page 45: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

MIAMI-DADECOUNTY/CONDADO

MIAMI-DADE

MIAMI

General Dentist

8150 SW 8th St Ste 206Miami, FL 33144(305) 261-5556

Salvador Rosales DDS Pa

Facility Number 044052

Rosales, Salvador

10661 N Kendall Drive Ste 105Miami, FL 33176(305) 670-0197

Sandra C Silva DMD Pa

Facility Number 052304

Silva, Sandra

8000 W Flagler St Ste 204Miami, FL 33144(305) 266-5222

Sandy Dental Inc

Facility Number 930401

Borges, Jorge

351 NW 42nd Ave Ste 504Miami, FL 33126(305) 642-3552

Senior Dental LLC

Facility Number 048650

Arguelles, Lourdes

Lage, Richard

330 SW 27th Ave Ste 704Miami, FL 33135(305) 643-4770

Sergio D Jacinto DDS & Santiago

Facility Number 011572

Jacinto, Santiago

9000 SW 152nd StMiami, FL 33157(305) 253-7670

Shirley F Simmonds

Facility Number 024880

Simmonds, Shirley

MIAMI-DADE

MIAMI

General Dentist

8441 SW 132nd StMiami, FL 33156(305) 235-9321

Simply Smiles Miami

Facility Number 041815

Miro, Kiara

Rios Ku Hop, Milagritos

Trujillo, Alexander

9055 SW 87th Ave #303Miami, FL 33176(305) 270-5505

Smile Dentistry Associates LLC

Facility Number 040231

Alvarez, Pablo

2915 NW 7th StMiami, FL 33125(305) 846-9082

Smile Design

Facility Number 056470

Perez, Diley

14750 SW 26th St #210Miami, FL 33185(305) 400-8060

Sol Dental PA

Facility Number 055253

Rodriguez, Ramon

7311 SW 62nd Ave Ste 203Miami, FL 33143(305) 667-2633

South Miami Dental Associates

Facility Number 845401

Beddall, Harold

Cutino, Juan

Gutierrez, Victor

Navarro, Jessica

Vinuela, Kari

MIAMI-DADE

MIAMI

General Dentist

657 South Dr Ste 301Miami, FL 33166(305) 885-9721

Springs Dental

Facility Number 052708

Lewkowicz, Ester

9777 SW 72nd StMiami, FL 33173(305) 596-2815

Sunset Family & Cosmetic Dentistry

Facility Number 053273

Ubieta-Arbesu, Eduardo

8585 Sunset Dr Ste 101Miami, FL 33143(305) 270-0171

Sunset Smiles Dental Office

Facility Number 026576

Hidalgo Gonzalez, Allison

11507 S Dixie HwyMiami, FL 33156(305) 235-0020

Taidy Costoya DMD PLLC

Facility Number 043493

Costoya, Taidy

1900 N Bayshore Dr Ste 207Miami, FL 33132(786) 623-3277

Tatiana Suarez

Facility Number 048652

Suarez, Tatiana

45 of68Pages45 08/29/2016

Page 46: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

MIAMI-DADECOUNTY/CONDADO

MIAMI-DADE

MIAMI

General Dentist

8353 SW 124th St Ste 202Miami, FL 33156(305) 253-7227

TD Group LLC

Facility Number 009593

Caravia, Amanda

Felipe, Veronica

Mahal, Narinderjit

Maya, Alvardo

Pandey, Anita

9230 SW 40th StMiami, FL 33165(305) 221-2334

Thomas A Zurfluh DMD Pa

Facility Number 922401

Chirino, Tracy

Zurfluh, Thomas

12651 S Dixie Hwy Ste 400Miami, FL 33156(305) 595-4548

Tin Wai Hui DMD Pa

Facility Number 919901

Cheng, Xiaofang

Hui, Tin

20533 Old Cutler RdMiami, FL 33189(305) 274-2499

Towncare Dental of Cutler Bay Pa

Facility Number 031097

Cabanzon, David

Caravia, Amanda

Maya, Alvardo

MIAMI-DADE

MIAMI

General Dentist

15724 SW 72 StreetMiami, FL 33193(305) 388-7900

Towncare Dental of West Kendall PA

Facility Number 042189

Bergquist, Michael

Espinosa, Ricardo

Felipe, Veronica

Manzur, Lamya

10511 N Kendall Dr Ste C101Miami, FL 33176(786) 507-1551

Unique Dental Team

Facility Number 042352

Friedman, Rene

11498 SW 186th StMiami, FL 33157(305) 232-4469

Unlimited Dental Care

Facility Number 025739

Batista, Virginia

13419 SW 56th StMiami, FL 33175(305) 529-2663

Vanessa Arzola DMD, PA & Associates

Facility Number 054202

Arzola, Vanessa

3058 NW 79th StMiami, FL 33147(305) 696-9999

Verrett Holistic Dental LLC

Facility Number 035936

Hasan-Verrett, Hajar

MIAMI-DADE

MIAMI

General Dentist

7190 SW 87th Avenue Ste 206Miami, FL 33173(305) 639-8272

Victor Gutierrez DMD PA

Facility Number 052377

Gutierrez, Victor

6840 SW 40th St Ste 207AMiami, FL 33155(305) 669-6111

Vnd Corp

Facility Number 942601

Valdes, Vivian

11880 SW 40th St Ste 302Miami, FL 33175(305) 221-0102

West Kendall Dental Associates

Facility Number 032961

Del Castillo, Raymond

Garcia- Castellanos, Jacqueline

7801 Coral Way Ste 122Miami, FL 33155(786) 360-3694

Westchester Dental Services Group Inc

Facility Number 052527

Gonzalez, Ana

927 SW 122nd AveMiami, FL 33184(305) 559-3870

Yaneisy Izquierdo DDS PA

Facility Number 056435

Izquierdo, Yaneisy

46 of68Pages46 08/29/2016

Page 47: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

MIAMI-DADECOUNTY/CONDADO

MIAMI-DADE

MIAMI

General Dentist

8822 SW 24th StMiami, FL 33165(305) 480-9838

Yoan E Lobaina DMD

Facility Number 037252

Lobaina, Yoan

Perez, Eunice

7171 Coral Way Ste 217Miami, FL 33155(305) 267-1620

Yosjany Mora Zaccheo

Facility Number 044056

Mora, Eugenio

Mora, Yosjany

MIAMI BEACH

General Dentist

1370 Washington Ave Ste 201Miami Beach, FL 33139(305) 538-7362

Coast Florida Pa

Facility Number 042269

Barfield, Gregory

960 Arthur Godfrey Rd Ste 400Miami Beach, FL 33140(305) 532-4419

Howard Abrahams DMD PA

Facility Number 030723

Abrahams, Howard

4308 Alton Rd Ste 930Miami Beach, FL 33140(305) 921-4601

Main Street Children's Dentistry and Orthodontics

Facility Number 054403

Krajewski, Helena

MIAMI-DADE

MIAMI BEACH

General Dentist

333 Arthur Godfrey Rd Ste 818Miami Beach, FL 33140(305) 674-0095

Miami Beach Center For Dntl Spec

Facility Number 012643

Akerman, Carolina

Bautista, Enrico

Beydoun, Miriam

Eagan, Jessica

Exposito, Ariel

Gober, Melvyn

Krajewski, Helena

Mahal, Narinderjit

Martinez, Tamara

Munoz, Zulima

Pena, Maria

Rodriguez, Mayra

Vinuela, Kari

1010 71st StMiami Beach, FL 33141(305) 868-8500

Normandy Dental Office

Facility Number 050925

Quintana, Vilma

227 71st StMiami Beach, FL 33141(305) 866-2933

Sage Dental of Miami Beach at 71st Street

Facility Number 055727

Castillo, Juan

Cruz, Antonio

Ziegler, Neal

MIAMI-DADE

MIAMI LAKES

General Dentist

7725 NW 146th StMiami Lakes, FL 33016(305) 827-9148

Ana Maderal Cozad DDS

Facility Number 845601

Maderal Cozad, Ana

8034 NW 154th StMiami Lakes, FL 33016(305) 558-7615

Deyanira Torres-Ochoa

Facility Number 041774

Torres-Ochoa, Diyanira

6500 Cow Pen Rd Ste 203Miami Lakes, FL 33014(305) 556-7595

Dr Ladys Cabrera Pa

Facility Number 047595

Cabrera, Ladys

15450 New Barn Rd Ste 101Miami Lakes, FL 33014(305) 557-7775

Hialeah-Miami Lakes Dental Healt

Facility Number 872601

Cabrera, Moises

Carballo, Rodolfo

Castellanos, Alina

Erro, Juan

Navarro, Jessica

Vinuela, Larry

15501 NW 67th Ave Ste 201Miami Lakes, FL 33014(786) 577-4968

Main Street Children's Dentistry of Miami Lakes

Facility Number 054239

Gallo, Donald

Haratz, Zina

Krajewski, Helena

47 of68Pages47 08/29/2016

Page 48: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

MIAMI-DADECOUNTY/CONDADO

MIAMI-DADE

MIAMI LAKES

General Dentist

15600 NW 67th Ave Ste 110Miami Lakes, FL 33014(305) 823-8831

Main Street Orthodontics Of Miam

Facility Number 033022

Krajewski, Helena

6500 Cow Pen Rd Ste 104Miami Lakes, FL 33014(305) 827-3926

Palmetto Smile Center

Facility Number 033346

Maderal, Martha

15802 NW 57th AveMiami Lakes, FL 33014(305) 903-7519

Vegas Dental

Facility Number 054687

Vega, Sergio

NORTH MIAMI

General Dentist

12404 W Dixie HwyNorth Miami, FL 33161(305) 893-4801

All Smiles General Dentistry

Facility Number 056242

Bernkrant, Shanna

Mesa Garcia, Miriam

Petruk, Mariel

708 NE 125th StNorth Miami, FL 33161(786) 433-8815

Borinquen Health Center

Facility Number 055669

Adler, Robert

Arenal, Franlix

Henderson, Gilsa

Soheil, Michell

MIAMI-DADE

NORTH MIAMI

General Dentist

12955 Biscayne Blvd Ste 210North Miami, FL 33181(305) 892-0008

Cosmitic Dentistry Corporation

Facility Number 031733

Sinilo-Katz, Elena

11645 Biscayne Blvd Ste 204North Miami, FL 33181(305) 892-2960

Dental Options Pa

Facility Number 024040

Cruz-Elizundia, Delia

Del Castillo, Raymond

Gordon, Alexandra

Hernandez Acosta, Cristina

Kusnick, Steven

Papir, Jessica

Rojas, Sandra

Rothstein, Eric

Szpoganicz, Tadeu

1313 NE 125th StNorth Miami, FL 33161(786) 235-5120

Paula F Hutchinson DDS

Facility Number 047958

Hutchinson, Paula

1075 NE 125th StNorth Miami, FL 33161(305) 899-7979

Ronia Baker DDS Pa

Facility Number 009308

Baker, Ronia

1045 NE 125th StNorth Miami, FL 33161(305) 800-5439

Sunkidz Pediatric Dentistry

Facility Number 055798

Patel, Rita

MIAMI-DADE

NORTH MIAMI BEACH

General Dentist

1871 NE 163rd StNorth Miami Beach, FL 33162(305) 945-7030

AAA Beautiful Smiles LLC

Facility Number 048631

Askowitz, Ronald

100 Kings Point DrNorth Miami Beach, FL 33160(305) 949-0733

All Care Dental

Facility Number 047969

Yeoshoua, Oded

16125 NE 18th AveNorth Miami Beach, FL 33162(305) 949-2766

Bdc Dental Health

Facility Number 000500

Smith, Edwin

Smith, Pierre

909 N Miami Beach Blvd Ste 501North Miami Beach, FL 33162(305) 945-9333

Bravo Dental Pa

Facility Number 040114

Yanez Bravo, Maria

951 NE 167 St #104North Miami Beach, FL 33162(305) 493-9371

C & C Dental Inc

Facility Number 054331

Casas, Silvia

16680 NE 10th AveNorth Miami Beach, FL 33162(305) 944-6669

David M Adelman DDS Pa

Facility Number 845801

Adelman, David

48 of68Pages48 08/29/2016

Page 49: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

MIAMI-DADECOUNTY/CONDADO

MIAMI-DADE

NORTH MIAMI BEACH

General Dentist

1001 Ives Dairy Rd Ste 103North Miami Beach, FL 33179(305) 652-3412

Dental Health Group

Facility Number 925909

Cortes, Gonzalo

D'Alessandria, Nestor

Hernandez, Shana

Le Bona, Daisy

Patel, Rita

Suta, Adi

Yap Starkman, Sharlene

1817 NE 163rd StNorth Miami Beach, FL 33162(305) 674-9000

Dr Sean Dental

Facility Number 057367

Shkolnik, Sean

1400 NE Miami Gardens Dr Ste 201North Miami Beach, FL 33179(305) 856-2300

Gateway Dental

Facility Number 057318

Carballo, Rodolfo

Garcia-Fernandez, Aliuska

Herrera, Victoria

Miranda, Pablo

Perrotti, Steven

Pita, Reynaldo

Zamora, Lyan

16200 NE 13th AveNorth Miami Beach, FL 33162(305) 760-2950

Leung Dental Care Inc

Facility Number 041885

Garcia, Elena

Lea Plaza, Rodolfo

Rindley, Steven

Suarez, Alberto

MIAMI-DADE

NORTH MIAMI BEACH

General Dentist

68 NE 167th St # BNorth Miami Beach, FL 33162(305) 940-9840

Manhattan Dental Inc

Facility Number 053762

Narvaez, Antonio

2040 NE 163rd St Ste 206North Miami Beach, FL 33162(305) 760-2740

North Miami Beach Dental

Facility Number 048865

Jacobs, Michael

Pinales Swanson, Wendy

3483 NE 163rd StNorth Miami Beach, FL 33160(305) 948-5002

Oral Facial Comprehensive Care P

Facility Number 038591

Alvarez, Nolyris

MIAMI-DADE

NORTH MIAMI BEACH

General Dentist

850 Ives Dairy Rd Ste T6North Miami Beach, FL 33179(305) 654-9399

Sage Dental Of N Miami Beach PA

Facility Number 054411

Alvarado-Romero Pou, Melissa

Alvarez, Jonathan

Azari, Scott

Bergquist, Michael

Bockian, Joshua

Bratman, Jerry

Buscemi, Amanda

Castillo, Juan

Chatani, Maria

Childers, Carmen

Coronado, Efrain

Cowan, Marc

Cruz, Antonio

Daneshpajouh, Sara

Darojat, Zuhdiyah

Dean, Craig

Draizin, Claudia

Driscoll, Allison

Duarte, Beatriz

Ehrenman, Jason

Engelsberg, David

Fernandez-Martinez, Mariangel

Fox, Jeffrey

Garcia-Porras, Marcela

Garrison, Harvey

Gedeon, Rose

Ghattas, Maureen

Gilbert, Mark

Guerrero, Luis

Gul, Yousaf

Harrouff, Wade

Horwitz, Steven

Israel, Elie

Jacobs, Michael

Juma, Zaileen

Kossak, Elizabeth

49 of68Pages49 08/29/2016

Page 50: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

MIAMI-DADE - PALM BEACHCOUNTY/CONDADO

MIAMI-DADE

NORTH MIAMI BEACH

General Dentist

850 Ives Dairy Rd Ste T6North Miami Beach, FL 33179(305) 654-9399

Sage Dental Of N Miami Beach PA

Facility Number 054411

Londono, Jennifer

Ma, Robert

Mohr, Eric

Moncrieffe, Tiffany

Naguib, Michelle

Napoli, Marisa

Ortega, Laura

Ortiz, Ana

Ortiz Perez, Marta

Pare, Elizabeth

Perez-Alamo, Jennifer

Planes, Alex

Quick, James

Rappaport, David

Rezvani, Caroline

Rieger, Eric

Ring, Stephen

Rodriguez, Margarita

Roshkind, David

Sanches, Melanie

Shofnos, Charles

Simpson, Natalie

Sirage, Ahmed

Snider, Erica

Steiner, Samantha

Strauss, Theodore

Suarez, Henry

Urquiza, Yeneir

Van Duyne, Tracy

Vazana, Todd

Vera, Anny

Vignola, Jennifer

Weisbrot, Bruce

Young, Summer

Yu, Cynthia

Ziegler, Neal

MIAMI-DADE

NORTH MIAMI BEACH

General Dentist

850 Ives Dairy Rd Ste T6North Miami Beach, FL 33179(305) 654-9399

Sage Dental Of N Miami Beach PA

Facility Number 054411

Zylbering, Jason

16209 NE 13th AveNorth Miami Beach, FL 33162(305) 940-9888

Tin Wai Hui DMD Pa

Facility Number 907301

Elperin, Alexei

Hui, Tin

Navarro, Jessica

PINECREST

General Dentist

9507 S Dixie HwyPinecrest, FL 33156(305) 859-7949

Seda Dental of Pinecrest PA

Facility Number 056885

Fontecilla, Sofia

WEST MIAMI

General Dentist

1350 SW 57th AveWest Miami, FL 33144(305) 265-6120

Secile Aponte-Barrios

Facility Number 056221

Aponte-Barrios, Secil

MONROE

KEY LARGO

General Dentist

100750 Overseas HwyKey Largo, FL 33037(305) 460-7060

Gomara DMD & Salcines DMD Pa

Facility Number 047032

Cruz, Karen

De Vera, Vanessa

Gomara, Luis

Morgado, Aracelio

103400 Overseas Hwy Ste 234Key Largo, FL 33037(305) 453-9105

Overseas Dental

Facility Number 056430

Cabanzon, David

Maya, Alvardo

TAVERNIER

General Dentist

90290 Overseas Hwy Ste 108Tavernier, FL 33070(305) 852-5099

Esther Santana DMD Pa

Facility Number 033177

Santana, Esther

PALM BEACH

ATLANTIS

General Dentist

5909 S Congress AveAtlantis, FL 33462(561) 967-6453

Alan Kelman DDS Pa

Facility Number 047940

Kelman, Alan

50 of68Pages50 08/29/2016

Page 51: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

PALM BEACHCOUNTY/CONDADO

PALM BEACH

BELLE GLADE

General Dentist

427 SE 2nd StBelle Glade, FL 33430(561) 996-6006

Gentle Dental of Belle Glade PA

Facility Number 054414

Alvarado-Romero Pou, Melissa

Alvarez, Jonathan

Azari, Scott

Bergquist, Michael

Bratman, Jerry

Buscemi, Amanda

Castillo, Juan

Chatani, Maria

Childers, Carmen

Coronado, Efrain

Cowan, Marc

Cruz, Antonio

Daneshpajouh, Sara

Darojat, Zuhdiyah

Dean, Craig

Draizin, Claudia

Driscoll, Allison

Duarte, Beatriz

Durkan, Marcia

Ehrenman, Jason

Engelsberg, David

Fernandez-Martinez, Mariangel

Fox, Jeffrey

Garcia-Porras, Marcela

Garrison, Harvey

Gedeon, Rose

Ghattas, Maureen

Gilbert, Mark

Guerrero, Luis

Gul, Yousaf

Guthrie, Kelly

Harrouff, Wade

Horwitz, Steven

Israel, Elie

Juma, Zaileen

Londono, Jennifer

PALM BEACH

BELLE GLADE

General Dentist

427 SE 2nd StBelle Glade, FL 33430(561) 996-6006

Gentle Dental of Belle Glade PA

Facility Number 054414

Ma, Robert

Mohr, Eric

Moncrieffe, Tiffany

Naguib, Michelle

Napoli, Marisa

Ortega, Laura

Ortiz, Ana

Ortiz Perez, Marta

Pare, Elizabeth

Perez-Alamo, Jennifer

Planes, Alex

Quick, James

Rappaport, David

Rezvani, Caroline

Rieger, Eric

Ring, Stephen

Rodriguez, Margarita

Roshkind, David

Shofnos, Charles

Simpson, Natalie

Sirage, Ahmed

Snider, Erica

Steiner, Samantha

Strauss, Theodore

Suarez, Henry

Urquiza, Yeneir

Van Duyne, Tracy

Vazana, Todd

Vera, Anny

Vignola, Jennifer

Weisbrot, Bruce

Young, Summer

Yu, Cynthia

Ziegler, Neal

Zylbering, Jason

PALM BEACH

BOCA RATON

Pediatric Dentist

21301 Powerline Rd Ste 208Boca Raton, FL 33433(561) 482-8000

Big Tooth Boca LLC

Facility Number 055385

Freedman, Ann

Galvez, Gloria

7301 W Palmetto Park Rd Ste 203BBoca Raton, FL 33433(561) 391-6066

Boca Dental Care

Facility Number 036470

Barba, Erica

Bezerra, Francisco

600 S Dixie Hwy Ste 207Boca Raton, FL 33432(561) 391-6800

Children & Pediatric Dentistry O

Facility Number 016891

Jimenez, Francisco

5030 Champion Blvd #F5Boca Raton, FL 33496(561) 989-0107

Clementine Dental Inc

Facility Number 045543

Ruiz-Martone, Arelis

1956 NE 5th #2Boca Raton, FL 33431(561) 417-3335

James Helmy DMD PA

Facility Number 051884

Helmy, James

8903 Glades Rd Ste A7Boca Raton, FL 33434(561) 488-9288

Lee Herman DDS Pa

Facility Number 047412

Herman, Lee

51 of68Pages51 08/29/2016

Page 52: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

PALM BEACHCOUNTY/CONDADO

PALM BEACH

BOCA RATON

Pediatric Dentist

595 S Federal Hwy Ste 130Boca Raton, FL 33432(561) 826-7955

Main Street Children's Dentistry of Boca Raton

Facility Number 039062

Chatani, Maria

1905 Clint Moore Rd Ste 200Boca Raton, FL 33496(561) 241-7656

Marianna Zadov Pa

Facility Number 043647

Krykhtin, Pavel

Zadov, Marianna

2200 N Dixie HwyBoca Raton, FL 33431(561) 394-6200

Mounir Albert DDS Pa

Facility Number 834201

Albert, Mounir

PALM BEACH

BOCA RATON

Pediatric Dentist

1200 Yamato Rd., Suite A-4Boca Raton, FL 33431(561) 997-9930

Sage Dental Of Boca Raton PLLC

Facility Number 054420

Alvarado-Romero Pou, Melissa

Alvarez, Jonathan

Azari, Scott

Bergquist, Michael

Bratman, Jerry

Buscemi, Amanda

Castillo, Juan

Chatani, Maria

Childers, Carmen

Coronado, Efrain

Cowan, Marc

Cruz, Antonio

Daneshpajouh, Sara

Darojat, Zuhdiyah

Dean, Craig

Draizin, Claudia

Driscoll, Allison

Duarte, Beatriz

Durkan, Marcia

Ehrenman, Jason

Engelsberg, David

Fernandez-Martinez, Mariangel

Fox, Jeffrey

Garcia-Porras, Marcela

Garrison, Harvey

Gedeon, Rose

Ghattas, Maureen

Gilbert, Mark

Guerrero, Luis

Gul, Yousaf

Guthrie, Kelly

Harrouff, Wade

Horwitz, Steven

Israel, Elie

Juma, Zaileen

Londono, Jennifer

PALM BEACH

BOCA RATON

Pediatric Dentist

1200 Yamato Rd., Suite A-4Boca Raton, FL 33431(561) 997-9930

Sage Dental Of Boca Raton PLLC

Facility Number 054420

Ma, Robert

Mohr, Eric

Moncrieffe, Tiffany

Naguib, Michelle

Napoli, Marisa

Newton, Emily

Ortega, Laura

Ortiz, Ana

Ortiz Perez, Marta

Pare, Elizabeth

Perez-Alamo, Jennifer

Planes, Alex

Quick, James

Rappaport, David

Rezvani, Caroline

Rieger, Eric

Ring, Stephen

Rodriguez, Margarita

Roshkind, David

Sanches, Melanie

Shofnos, Charles

Simpson, Natalie

Sirage, Ahmed

Snider, Erica

Steiner, Samantha

Strauss, Theodore

Suarez, Henry

Urquiza, Yeneir

Van Duyne, Tracy

Vazana, Todd

Vera, Anny

Vignola, Jennifer

Weisbrot, Bruce

Young, Summer

Yu, Cynthia

Ziegler, Neal

52 of68Pages52 08/29/2016

Page 53: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

PALM BEACHCOUNTY/CONDADO

PALM BEACH

BOCA RATON

Pediatric Dentist

1200 Yamato Rd., Suite A-4Boca Raton, FL 33431(561) 997-9930

Sage Dental Of Boca Raton PLLC

Facility Number 054420

Zylbering, Jason

9874 Yamato Rd Ste 116/118Boca Raton, FL 33434(561) 488-1688

Sage Dental of West Boca Raton PLLC

Facility Number 003440

Alvarado-Romero Pou, Melissa

Alvarez, Jonathan

Castillo, Juan

Chatani, Maria

Childers, Carmen

Duarte, Beatriz

Durkan, Marcia

Ghattas, Maureen

Gilbert, Mark

Gul, Yousaf

Hamed, Shirin

Horwitz, Steven

Lamb, Nicole

Mancuso, Richard

Moncrieffe, Tiffany

Ortega, Laura

Planes, Alex

Rappaport, David

Rezvani, Caroline

Rieger, Eric

Roshkind, David

Sanches, Melanie

Sirage, Ahmed

Steiner, Samantha

Van Duyne, Tracy

Vazana, Todd

Vera, Anny

Young, Summer

PALM BEACH

BOCA RATON

Pediatric Dentist

8221 Glades Rd Ste 4Boca Raton, FL 33434(561) 883-2786

Salamon & Yanover Dental Pl

Facility Number 969501

Salamon, Gary

Yanover, Clifford

5601 N Federal Hwy Ste 6Boca Raton, FL 33487(561) 997-8300

Samuel L Klein DDS

Facility Number 973801

Klein, Samuel

7805 NW Bcn Sq Blvd Ste 101Boca Raton, FL 33487(561) 443-2101

Shapiro Family Dentistry

Facility Number 056182

Shapiro, Dari

Shapiro, Seth

BOYNTON BEACH

General Dentist

12453 Hagen Ranch Rd Unit 101Boynton Beach, FL 33437(561) 270-6494

Adult and Geriatrics Institute

Facility Number 055698

Baghdassarian-Mencia, Rosemary

4756 N Congress Ave Ste 106Boynton Beach, FL 33426(561) 868-0900

Coast Florida Pa

Facility Number 042251

Cerra, Frank

PALM BEACH

BOYNTON BEACH

General Dentist

930 N Congress Ave Ste 200Boynton Beach, FL 33426(561) 732-6900

Dentaland Boynton Beach LLC

Facility Number 813301

Cohen, Michael

Dooley, Jill

Fotek, Ilona

Friedman, Hyman

Hogan, Helena

Landa, Rene

Mccown, Michael

Morales, Ronald

Munoz, Numa

Reichman, Lewis

Rodriguez, Dario

San Jorge, Alejandro

Schwartz, Edward

Smith, Christina

Sutnick, Steven

Taha, Ahmed

Zusselman, Arnold

374 N Congress AveBoynton Beach, FL 33426(561) 364-3368

Edward P Broggi DMD Pa

Facility Number 028406

Broggi, Edward

1901 S Federal HwyBoynton Beach, FL 33435(561) 738-5974

Florida Dental & Denture Center

Facility Number 934701

Deckler, Bruce L

Semeah, Yves

53 of68Pages53 08/29/2016

Page 54: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

PALM BEACHCOUNTY/CONDADO

PALM BEACH

BOYNTON BEACH

General Dentist

1080 S Federal HwyBoynton Beach, FL 33435(561) 732-3124

Gentle Dental Group of East Boynton Beach

Facility Number 036972

Buscemi, Amanda

Chatani, Maria

Ortiz Perez, Marta

1501 CORPORATE DR STE 140Boynton Beach, FL 33426(561) 364-8700

JAISHILL PLLC

Facility Number 053797

Chokshi, Payal

8190 S Jog Rd Ste 110Boynton Beach, FL 33472(561) 374-7990

Jorge A Torrejon DDS Pa

Facility Number 969401

Torrejon, Jorge

2280 N Congress AveBoynton Beach, FL 33426(561) 732-2400

Modern Dental Smiles

Facility Number 033504

Bally, Kurt

Eftekhari, Samin

Munguba, Bozena

PALM BEACH

BOYNTON BEACH

General Dentist

1790 N Congress Ave Ste 100Boynton Beach, FL 33426(561) 572-3555

Sage Dental of Central Boynton Beach PLLC

Facility Number 054384

Alvarado-Romero Pou, Melissa

Alvarez, Jonathan

Azari, Scott

Bergquist, Michael

Bockian, Joshua

Bratman, Jerry

Buscemi, Amanda

Castillo, Juan

Chatani, Maria

Childers, Carmen

Coronado, Efrain

Cowan, Marc

Cruz, Antonio

Daneshpajouh, Sara

Darojat, Zuhdiyah

Dean, Craig

Draizin, Claudia

Driscoll, Allison

Duarte, Beatriz

Durkan, Marcia

Ehrenman, Jason

Engelsberg, David

Fernandez-Martinez, Mariangel

Fox, Jeffrey

Garcia-Porras, Marcela

Garrison, Harvey

Gedeon, Rose

Gilbert, Mark

Gonzales, Angelica

Guerrero, Luis

Gul, Yousaf

Guthrie, Kelly

Harrouff, Wade

Horwitz, Steven

Israel, Elie

PALM BEACH

BOYNTON BEACH

General Dentist

1790 N Congress Ave Ste 100Boynton Beach, FL 33426(561) 572-3555

Sage Dental of Central Boynton Beach PLLC

Facility Number 054384

Juma, Zaileen

Londono, Jennifer

Ma, Robert

Mohr, Eric

Moncrieffe, Tiffany

Naguib, Michelle

Napoli, Marisa

Newton, Emily

Ortega, Laura

Ortiz, Ana

Ortiz Perez, Marta

Pare, Elizabeth

Perez-Alamo, Jennifer

Planes, Alex

Quick, James

Rappaport, David

Ring, Stephen

Rodriguez, Margarita

Roshkind, David

Sanches, Melanie

Shofnos, Charles

Simpson, Natalie

Sirage, Ahmed

Snider, Erica

Steiner, Samantha

Strauss, Theodore

Suarez, Henry

Urquiza, Yeneir

Van Duyne, Tracy

Vazana, Todd

Vera, Anny

Vignola, Jennifer

Weisbrot, Bruce

Young, Summer

Yu, Cynthia

54 of68Pages54 08/29/2016

Page 55: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

PALM BEACHCOUNTY/CONDADO

PALM BEACH

BOYNTON BEACH

General Dentist

1790 N Congress Ave Ste 100Boynton Beach, FL 33426(561) 572-3555

Sage Dental of Central Boynton Beach PLLC

Facility Number 054384

Ziegler, Neal

PALM BEACH

BOYNTON BEACH

General Dentist

556 E Woolbright Rd Ste 552BBoynton Beach, FL 33435(561) 732-3124

Sage Dental of East Boynton Beach PLLC

Facility Number 003441

Alvarado-Romero Pou, Melissa

Alvarez, Jonathan

Ayesh, Karima

Azari, Scott

Bergquist, Michael

Bratman, Jerry

Castillo, Juan

Cherkinsky, Jordan

Childers, Carmen

Cline, Jack

Cohen, Michael

Coronado, Efrain

Cruz, Antonio

Daneshpajouh, Sara

Darojat, Zuhdiyah

Dean, Craig

Driscoll, Allison

Duarte, Beatriz

Durkan, Marcia

Fernandez-Martinez, Mariangel

Fox, Jeffrey

Garcia-Porras, Marcela

Garrison, Harvey

Ghattas, Maureen

Gilbert, Mark

Goldberg, Howard

Guerrero, Luis

Gul, Yousaf

Guthrie, Kelly

Hamed, Shirin

Helmy, James

Hoffman, Bruce

Horwitz, Steven

Israel, Elie

Ma, Robert

PALM BEACH

BOYNTON BEACH

General Dentist

556 E Woolbright Rd Ste 552BBoynton Beach, FL 33435(561) 732-3124

Sage Dental of East Boynton Beach PLLC

Facility Number 003441

Mohr, Eric

Moncrieffe, Tiffany

Naguib, Michelle

Newton, Emily

Ortega, Laura

Ortiz, Ana

Pare, Elizabeth

Perez-Alamo, Jennifer

Perkins, Lindsay

Planes, Alex

Quick, James

Rappaport, David

Rezvani, Caroline

Rieger, Eric

Ring, Stephen

Rodriguez, Margarita

Rodriguez, Ramon

Roshkind, David

Salazar, Cecilia

Sanches, Melanie

Schot, Raquel

Simpson, Natalie

Sirage, Ahmed

Steiner, Samantha

Strauss, Theodore

Suarez, Henry

Truong, Xen

Urquiza, Yeneir

Van Duyne, Tracy

Vazana, Todd

Vera, Anny

Viener, Alfred

Vignola, Jennifer

Weisbrot, Bruce

Wooldridge, Maria

55 of68Pages55 08/29/2016

Page 56: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

PALM BEACHCOUNTY/CONDADO

PALM BEACH

BOYNTON BEACH

General Dentist

556 E Woolbright Rd Ste 552BBoynton Beach, FL 33435(561) 732-3124

Sage Dental of East Boynton Beach PLLC

Facility Number 003441

Young, Summer

Yu, Cynthia

Ziegler, Neal

Zylbering, Jason

DELRAY BEACH

General Dentist

15300 Jog Rd Ste 207Delray Beach, FL 33446(561) 498-3182

Advanced Dental Solutions of South Florida

Facility Number 047561

Harris, Richard

PALM BEACH

DELRAY BEACH

General Dentist

1640 S Federal HwyDelray Beach, FL 33483(561) 276-5800

Dentaland Delray Beach LLC

Facility Number 813201

Cohen, Michael

Dooley, Jill

Fishner, Neil

Fotek, Ilona

Friedman, Hyman

Hogan, Helena

Iurcovich, Maximillian

Landa, Rene

Lisi, Richard

Mccown, Michael

Morales, Ronald

Munoz, Numa

Reichman, Lewis

Rodriguez, Dario

Rodriguez, Mayra

San Jorge, Alejandro

Schwartz, Edward

Smith, Christina

Sutnick, Steven

Taha, Ahmed

Thomas, Joseph

Vlahos, Haralambos

Zusselman, Arnold

660 Linton Blvd Ste 111BDelray Beach, FL 33444(561) 274-0406

Dentalworks Studio of Delray Beach PA

Facility Number 037290

Ortega Perez, Claudia

PALM BEACH

DELRAY BEACH

General Dentist

801 S Federal Hwy #105Delray Beach, FL 33483(561) 272-2424

Eledent Pa

Facility Number 975801

Elefant, Jacob

1911 S Federal Hwy Ste 600Delray Beach, FL 33483(561) 243-8833

Family & Cosmetic Dentistry of Delray Beach

Facility Number 024492

Bauer, Richard

15300 Jog Rd Ste 210Delray Beach, FL 33446(561) 499-6664

Laser And Cosmetic Dentistry Of

Facility Number 026615

Festa, Antonio

Figueroa, Juan

Pouleriguen, Alain

5329 W Atlantic Ave Ste 201Delray Beach, FL 33484(561) 498-0016

Mark A Herman DMD Pa

Facility Number 056267

Herman, Mark

Valdes, Martha

2275 S Federal Hwy #310Delray Beach, FL 33483(561) 894-4299

Nobel Dental PA

Facility Number 047941

Ngo, Tuong Ai

56 of68Pages56 08/29/2016

Page 57: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

PALM BEACHCOUNTY/CONDADO

PALM BEACH

DELRAY BEACH

General Dentist

1911 S Federal Hwy Ste 600Delray Beach, FL 33483(561) 243-8833

Richard Bauer DMD

Facility Number 024492

Bauer, Richard

PALM BEACH

DELRAY BEACH

General Dentist

551 Linton Blvd Ste C-2Delray Beach, FL 33444(561) 404-6044

Sage Dental of East Delray PLLC

Facility Number 054385

Alvarado-Romero Pou, Melissa

Alvarez, Jonathan

Azari, Scott

Bergquist, Michael

Bratman, Jerry

Buscemi, Amanda

Castillo, Juan

Chatani, Maria

Childers, Carmen

Coronado, Efrain

Cowan, Marc

Cruz, Antonio

Daneshpajouh, Sara

Darojat, Zuhdiyah

Dean, Craig

Draizin, Claudia

Driscoll, Allison

Duarte, Beatriz

Durkan, Marcia

Ehrenman, Jason

Engelsberg, David

Fernandez-Martinez, Mariangel

Fox, Jeffrey

Garcia-Porras, Marcela

Garrison, Harvey

Gedeon, Rose

Gilbert, Mark

Guerrero, Luis

Gul, Yousaf

Gultz, Jerrold

Guthrie, Kelly

Harrouff, Wade

Horwitz, Steven

Israel, Elie

Juma, Zaileen

Londono, Jennifer

PALM BEACH

DELRAY BEACH

General Dentist

551 Linton Blvd Ste C-2Delray Beach, FL 33444(561) 404-6044

Sage Dental of East Delray PLLC

Facility Number 054385

Ma, Robert

Moncrieffe, Tiffany

Newton, Emily

Ortega, Laura

Ortiz Perez, Marta

Planes, Alex

Quick, James

Rappaport, David

Roshkind, David

Sanches, Melanie

Simpson, Natalie

Sirage, Ahmed

Steiner, Samantha

Van Duyne, Tracy

Vazana, Todd

Vera, Anny

Ziegler, Neal

57 of68Pages57 08/29/2016

Page 58: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

PALM BEACHCOUNTY/CONDADO

PALM BEACH

DELRAY BEACH

General Dentist

13722 Jog Rd Ste BDelray Beach, FL 33446(561) 272-9198

Sage Dental of West Delray PA

Facility Number 054387

Alvarado-Romero Pou, Melissa

Alvarez, Jonathan

Azari, Scott

Bergquist, Michael

Bratman, Jerry

Buscemi, Amanda

Castillo, Juan

Chatani, Maria

Childers, Carmen

Coronado, Efrain

Cowan, Marc

Cruz, Antonio

Daneshpajouh, Sara

Darojat, Zuhdiyah

Dean, Craig

Draizin, Claudia

Driscoll, Allison

Duarte, Beatriz

Durkan, Marcia

Engelsberg, David

Fernandez-Martinez, Mariangel

Fox, Jeffrey

Garcia-Porras, Marcela

Garrison, Harvey

Gedeon, Rose

Ghattas, Maureen

Gilbert, Mark

Guerrero, Luis

Gul, Yousaf

Guthrie, Kelly

Harrouff, Wade

Horwitz, Steven

Israel, Elie

Juma, Zaileen

Londono, Jennifer

Ma, Robert

PALM BEACH

DELRAY BEACH

General Dentist

13722 Jog Rd Ste BDelray Beach, FL 33446(561) 272-9198

Sage Dental of West Delray PA

Facility Number 054387

Mohr, Eric

Moncrieffe, Tiffany

Naguib, Michelle

Napoli, Marisa

Ortega, Laura

Ortiz, Ana

Ortiz Perez, Marta

Pare, Elizabeth

Perez-Alamo, Jennifer

Planes, Alex

Quick, James

Rappaport, David

Rezvani, Caroline

Rieger, Eric

Ring, Stephen

Rodriguez, Margarita

Roshkind, David

Sanches, Melanie

Shofnos, Charles

Simpson, Natalie

Sirage, Ahmed

Snider, Erica

Steiner, Samantha

Strauss, Theodore

Suarez, Henry

Urquiza, Yeneir

Van Duyne, Tracy

Vazana, Todd

Vera, Anny

Vignola, Jennifer

Weisbrot, Bruce

Young, Summer

Yu, Cynthia

Ziegler, Neal

Zylbering, Jason

PALM BEACH

GREENACRES

General Dentist

6137 Lake Worth RdGreenacres, FL 33463(561) 357-1009

Mil-Lake Dental Pa

Facility Number 970701

Michel, Raynald

Victome, Robert

JUPITER

General Dentist

825 S US Highway 1 Ste 250Jupiter, FL 33477(561) 744-6121

Bruce Lein DDS

Facility Number 052768

Lein, Bruce

425 Greenwich Cir Ste 101-102Jupiter, FL 33458(561) 653-1163

Dental Art Designs Inc

Facility Number 040724

Geldres, Juana

3889 Military TrlJupiter, FL 33458(561) 406-6070

Dentistry By Design

Facility Number 054860

Boscio, Isabel

Bowers, Melissa

759 Parkway Ste 102Jupiter, FL 33477(561) 744-3646

Jaishil PLLC

Facility Number 053457

Chokshi, Payal

58 of68Pages58 08/29/2016

Page 59: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

PALM BEACHCOUNTY/CONDADO

PALM BEACH

JUPITER

General Dentist

175 Toney Penna Dr #105Jupiter, FL 33458(561) 745-3118

Jupiter Dental Group PA

Facility Number 009825

Alvarez, Jose

Gober, Melvyn

McCosh, Fernanda

Pecora, Jefferson

Rezaie, Azadeh

Vera, Anny

4050 S US Highway 1 Ste 322Jupiter, FL 33477(561) 691-6055

Kurt O Bally DMD Pa

Facility Number 027077

Bally, Kurt

Eftekhari, Samin

5440 Military Trail Ste 11Jupiter, FL 33458(561) 745-3118

Main Street Childrens Dentistry

Facility Number 027985

Barba, Erica

Chatani, Maria

Matos, Luis

Michaud, Christie

PALM BEACH

JUPITER

General Dentist

6390 Indiantown Rd #32Jupiter, FL 33458(561) 741-7142

Sage Dental of Jupiter Indiantown

Facility Number 054386

Alvarado-Romero Pou, Melissa

Alvarez, Jonathan

Azari, Scott

Bergquist, Michael

Bratman, Jerry

Buscemi, Amanda

Castillo, Juan

Chatani, Maria

Childers, Carmen

Coronado, Efrain

Cowan, Marc

Cruz, Antonio

Daneshpajouh, Sara

Darojat, Zuhdiyah

Dean, Craig

Draizin, Claudia

Driscoll, Allison

Duarte, Beatriz

Durkan, Marcia

Ehrenman, Jason

Engelsberg, David

Fernandez-Martinez, Mariangel

Fox, Jeffrey

Garcia-Porras, Marcela

Garrison, Harvey

Gedeon, Rose

Ghattas, Maureen

Gilbert, Mark

Guerrero, Luis

Gul, Yousaf

Guthrie, Kelly

Harrouff, Wade

Horwitz, Steven

Israel, Elie

Juma, Zaileen

Lamb, Nicole

PALM BEACH

JUPITER

General Dentist

6390 Indiantown Rd #32Jupiter, FL 33458(561) 741-7142

Sage Dental of Jupiter Indiantown

Facility Number 054386

Londono, Jennifer

Ma, Robert

Mohr, Eric

Moncrieffe, Tiffany

Naguib, Michelle

Napoli, Marisa

Ortega, Laura

Ortiz, Ana

Ortiz Perez, Marta

Pare, Elizabeth

Planes, Alex

Quick, James

Rappaport, David

Rezvani, Caroline

Rieger, Eric

Ring, Stephen

Rodriguez, Margarita

Roshkind, David

Sanches, Melanie

Shofnos, Charles

Simpson, Natalie

Sirage, Ahmed

Snider, Erica

Steiner, Samantha

Strauss, Theodore

Suarez, Henry

Urquiza, Yeneir

Van Duyne, Tracy

Vazana, Todd

Vera, Anny

Vignola, Jennifer

Weisbrot, Bruce

Young, Summer

Yu, Cynthia

Ziegler, Neal

Zylbering, Jason

59 of68Pages59 08/29/2016

Page 60: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

PALM BEACHCOUNTY/CONDADO

PALM BEACH

JUPITER

General Dentist

451 University Blvd Ste 101 Bldg 3Jupiter, FL 33458(561) 427-6850

Sage Dental Of Jupiter PLLC

Facility Number 054415

Alvarado-Romero Pou, Melissa

Alvarez, Jonathan

Azari, Scott

Bergquist, Michael

Bratman, Jerry

Buscemi, Amanda

Castillo, Juan

Chatani, Maria

Childers, Carmen

Coronado, Efrain

Cowan, Marc

Cruz, Antonio

Daneshpajouh, Sara

Darojat, Zuhdiyah

Dean, Craig

Draizin, Claudia

Duarte, Beatriz

Durkan, Marcia

Ehrenman, Jason

Engelsberg, David

Fernandez-Martinez, Mariangel

Fox, Jeffrey

Garcia-Porras, Marcela

Garrison, Harvey

Gedeon, Rose

Ghattas, Maureen

Gilbert, Mark

Guerrero, Luis

Gul, Yousaf

Guthrie, Kelly

Harrouff, Wade

Horwitz, Steven

Israel, Elie

Juma, Zaileen

Lamb, Nicole

Londono, Jennifer

PALM BEACH

JUPITER

General Dentist

451 University Blvd Ste 101 Bldg 3Jupiter, FL 33458(561) 427-6850

Sage Dental Of Jupiter PLLC

Facility Number 054415

Ma, Robert

Mohr, Eric

Moncrieffe, Tiffany

Naguib, Michelle

Napoli, Marisa

Ortega, Laura

Ortiz, Ana

Ortiz Perez, Marta

Pare, Elizabeth

Perez-Alamo, Jennifer

Planes, Alex

Quick, James

Rappaport, David

Rezvani, Caroline

Rieger, Eric

Ring, Stephen

Rodriguez, Margarita

Roshkind, David

Sanches, Melanie

Shofnos, Charles

Simpson, Natalie

Sirage, Ahmed

Snider, Erica

Steiner, Samantha

Strauss, Theodore

Suarez, Henry

Urquiza, Yeneir

Van Duyne, Tracy

Vazana, Todd

Vera, Anny

Vignola, Jennifer

Weisbrot, Bruce

Young, Summer

Yu, Cynthia

Ziegler, Neal

Zylbering, Jason

PALM BEACH

LAKE WORTH

General Dentist

5700 Lake Worth Rd Ste 102Lake Worth, FL 33463(561) 965-1254

Anitha Reddy DMD Pa

Facility Number 032399

Reddy, Anitha

4481 Lake Worth Rd Ste BLake Worth, FL 33461(561) 331-3013

Big Smile Dentistry

Facility Number 053858

Akel, Rasmi

Cortes, Astrid

60 of68Pages60 08/29/2016

Page 61: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

PALM BEACHCOUNTY/CONDADO

PALM BEACH

LAKE WORTH

General Dentist

1922 Lake Worth RdLake Worth, FL 33461(561) 547-5597

Sage Dental Lake Worth PA

Facility Number 054422

Alvarado-Romero Pou, Melissa

Alvarez, Jonathan

Azari, Scott

Bergquist, Michael

Bratman, Jerry

Buscemi, Amanda

Castillo, Juan

Chatani, Maria

Childers, Carmen

Coronado, Efrain

Cowan, Marc

Cruz, Antonio

Daneshpajouh, Sara

Darojat, Zuhdiyah

Dean, Craig

Draizin, Claudia

Driscoll, Allison

Duarte, Beatriz

Durkan, Marcia

Ehrenman, Jason

Engelsberg, David

Fernandez-Martinez, Mariangel

Fox, Jeffrey

Garrison, Harvey

Gedeon, Rose

Ghattas, Maureen

Gilbert, Mark

Green, Beverly

Guerrero, Luis

Gul, Yousaf

Guthrie, Kelly

Harrouff, Wade

Horwitz, Steven

Israel, Elie

Juma, Zaileen

Londono, Jennifer

PALM BEACH

LAKE WORTH

General Dentist

1922 Lake Worth RdLake Worth, FL 33461(561) 547-5597

Sage Dental Lake Worth PA

Facility Number 054422

Ma, Robert

Mohr, Eric

Moncrieffe, Tiffany

Naguib, Michelle

Napoli, Marisa

Ortega, Laura

Ortiz, Ana

Ortiz Perez, Marta

Perez-Alamo, Jennifer

Planes, Alex

Quick, James

Rezvani, Caroline

Rieger, Eric

Ring, Stephen

Rodriguez, Margarita

Roshkind, David

Sanches, Melanie

Shofnos, Charles

Simpson, Natalie

Snider, Erica

Steiner, Samantha

Strauss, Theodore

Suarez, Henry

Urquiza, Yeneir

Van Duyne, Tracy

Vazana, Todd

Vera, Anny

Vignola, Jennifer

Weisbrot, Bruce

Young, Summer

Yu, Cynthia

Ziegler, Neal

Zylbering, Jason

PALM BEACH

LAKE WORTH

General Dentist

6626 Hypoluxo Rd # A1Lake Worth, FL 33467(561) 433-9600

Sage Dental of Boynton Beach PA

Facility Number 054419

Alvarado-Romero Pou, Melissa

Alvarez, Jonathan

Azari, Scott

Bergquist, Michael

Bratman, Jerry

Buscemi, Amanda

Castillo, Juan

Chatani, Maria

Childers, Carmen

Coronado, Efrain

Correia, Philip

Cowan, Marc

Cruz, Antonio

Daneshpajouh, Sara

Darojat, Zuhdiyah

Dean, Craig

Draizin, Claudia

Driscoll, Allison

Duarte, Beatriz

Durkan, Marcia

Engelsberg, David

Fernandez-Martinez, Mariangel

Fox, Jeffrey

Garcia-Porras, Marcela

Garrison, Harvey

Gedeon, Rose

Ghandour, Dima

Ghattas, Maureen

Gilbert, Mark

Guerrero, Luis

Gul, Yousaf

Guthrie, Kelly

Harrouff, Wade

Horwitz, Steven

Israel, Elie

Juma, Zaileen

61 of68Pages61 08/29/2016

Page 62: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

PALM BEACHCOUNTY/CONDADO

PALM BEACH

LAKE WORTH

General Dentist

6626 Hypoluxo Rd # A1Lake Worth, FL 33467(561) 433-9600

Sage Dental of Boynton Beach PA

Facility Number 054419

Londono, Jennifer

Ma, Robert

Mohr, Eric

Moncrieffe, Tiffany

Naguib, Michelle

Napoli, Marisa

Ortega, Laura

Ortiz, Ana

Ortiz Perez, Marta

Pare, Elizabeth

Perez-Alamo, Jennifer

Planes, Alex

Quick, James

Rappaport, David

Rezvani, Caroline

Rieger, Eric

Ring, Stephen

Rodriguez, Margarita

Roshkind, David

Sanches, Melanie

Shofnos, Charles

Simpson, Natalie

Sirage, Ahmed

Snider, Erica

Steiner, Samantha

Strauss, Theodore

Suarez, Henry

Urquiza, Yeneir

Van Duyne, Tracy

Vazana, Todd

Vera, Anny

Weishoff, Robert

Young, Summer

Yu, Cynthia

Ziegler, Neal

Zylbering, Jason

PALM BEACH

LAKE WORTH

General Dentist

3580 Lake Worth RdLake Worth, FL 33461(561) 425-5090

Soma Smiles Inc

Facility Number 056352

Akel, Rasmi

Rodriguez, Narda

PALM BEACH GARDENS

General Dentist

11682B US Highway 1 Ste 60Palm Beach Gardens, FL 33408(561) 624-2047

Dental Health Group

Facility Number 945601

Brody, Robert

Eftekhari, Samin

Gul, Yousaf

Jackson, David

Luba, Kevin

Meinbach, Kenneth

Patel, Rita

Smith, Shannon

Yap Starkman, Sharlene

9123 N Military Trl Ste 200Palm Beach Gardens, FL 33410(561) 627-2399

Dr Florian Braich DDS Pa

Facility Number 024866

Braich, Florian

11601 Kew Gardens Ave Ste 107Palm Beach Gardens, FL 33410(561) 656-5250

J Fernando Alvarez DDS

Facility Number 047340

Alvarez, Jose

PALM BEACH

PALM BEACH GARDENS

General Dentist

9810 Highway A1A Alt Ste 106Palm Beach Gardens, FL 33410(561) 624-7988

KA Dental Group PA

Facility Number 054338

Patel, Krunal

RIVIERA BEACH

General Dentist

51 Blue Heron Blvd ERiviera Beach, FL 33404(561) 842-8911

Edward L Peters

Facility Number 971501

Peters, Edward

51 Blue Heron BlvdRiviera Beach, FL 33404(561) 842-8911

Edward Peters DDS

Facility Number 971501

Peters, Edward

ROYAL PALM BEACH

General Dentist

11440 Okeechobee Blvd Ste 106Royal Palm Beach, FL 33411(561) 333-3556

Dent-All

Facility Number 976901

Abdo, Omar

Garcia Avalo, Jennifer

Habashi, Sara

Heifferman, Mark

123 S State Road 7 #205Royal Palm Beach, FL 33414(561) 204-3337

Dentaras Inc

Facility Number 011397

Taras, Michael

62 of68Pages62 08/29/2016

Page 63: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

PALM BEACHCOUNTY/CONDADO

PALM BEACH

ROYAL PALM BEACH

General Dentist

440 S State Road 7Royal Palm Beach, FL 33414(561) 753-6963

FL Dental PA

Facility Number 049318

Abraham, Michael

Bacha, Elizabeth

Bentsi-Enchill, Flora

Dickinson, Scott

Dominguez, Cristina

Griffee, Justin

Hirsowitz, Ryan

San Juan Jr, Fernando

Stefanczyk, Barbara

Umoren, Anne-Marie

1112 Royal Palm Beach BlvdRoyal Palm Beach, FL 33411(561) 795-1404

KA Dental Group RPB PA

Facility Number 054195

Patel, Krunal

11903 Southern Blvd Ste 102Royal Palm Beach, FL 33411(561) 422-2940

Main Street Childrens Dentistry

Facility Number 033114

Barba, Erica

Chatani, Maria

Correa, Paola

Matos, Luis

Munoz, Zulima

PALM BEACH

TEQUESTA

General Dentist

542 N US Highway 1Tequesta, FL 33469(561) 745-1174

Lighthouse Dental Of South Flori

Facility Number 032504

Dicrescento, Donna

Moini, Mahkameh

Scalercio, John

Snider, Erica

WELLINGTON

General Dentist

12012 South Shore Blvd Ste 211Wellington, FL 33414(561) 721-9777

A Center For Dental Excellence P

Facility Number 036270

Gorbatov, Dmitry

1037 S State Road 7 Ste 211Wellington, FL 33414(561) 839-1802

Anthony J Apicella

Facility Number emier

Apicella, Anthony

Zacharewicz, Shane

12798 Forest Hill BlvdWellington, FL 33414(561) 793-7515

Childrens Ped Dentistry Of We

Facility Number 944609

Jimenez, Francisco

PALM BEACH

WELLINGTON

General Dentist

3027 Forest Hill Blvd #A-3Wellington, FL 33406(561) 433-4330

Dental Center Of Forest Hills Pa

Facility Number 922601

Golden, Joshua

Hogan, Helena

McCosh, Fernanda

Pecora, Jefferson

Rezaie, Azadeh

Vento, Yosvany

1497 Forest Hill BlvdWellington, FL 33406(561) 964-4699

Dental Net Inc

Facility Number 029457

Ameer-Marx, Lisa

Azar, Francisco

Barba, Erica

Gedeon, Rose

Patel, Rita

2945 N Australian AveWellington, FL 33407(561) 844-0033

Florida Dental & Denture

Facility Number 010331

Semeah, Yves

2596 Forest Hill BlvdWellington, FL 33406(561) 433-1818

Florida Dental & Denture Ctr Ii

Facility Number 000187

Semeah, Yves

63 of68Pages63 08/29/2016

Page 64: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

PALM BEACHCOUNTY/CONDADO

PALM BEACH

WELLINGTON

General Dentist

1800 Forest Hill BlvdWellington, FL 33406(561) 439-7400

Juana M Geldres DDS Pa

Facility Number 014039

Geldres, Juana

PALM BEACH

WELLINGTON

General Dentist

13889 Wellington Trce Ste A5Wellington, FL 33414(561) 795-8900

Sage Dental Of Wellington PA

Facility Number 054412

Alvarado-Romero Pou, Melissa

Alvarez, Jonathan

Azari, Scott

Bergquist, Michael

Bockian, Joshua

Bratman, Jerry

Buscemi, Amanda

Castillo, Juan

Chatani, Maria

Childers, Carmen

Coronado, Efrain

Cowan, Marc

Cruz, Antonio

Daneshpajouh, Sara

Darojat, Zuhdiyah

Dean, Craig

Draizin, Claudia

Driscoll, Allison

Duarte, Beatriz

Durkan, Marcia

Engelsberg, David

Fernandez-Martinez, Mariangel

Fox, Jeffrey

Garcia-Porras, Marcela

Garrison, Harvey

Gedeon, Rose

Ghattas, Maureen

Gilbert, Mark

Guerrero, Luis

Gul, Yousaf

Guthrie, Kelly

Harrouff, Wade

Horwitz, Steven

Israel, Elie

Juma, Zaileen

Lamb, Nicole

PALM BEACH

WELLINGTON

General Dentist

13889 Wellington Trce Ste A5Wellington, FL 33414(561) 795-8900

Sage Dental Of Wellington PA

Facility Number 054412

Londono, Jennifer

Lovetere, Thomas

Ma, Robert

Mohr, Eric

Moncrieffe, Tiffany

Naguib, Michelle

Napoli, Marisa

Ortega, Laura

Ortiz, Ana

Ortiz Perez, Marta

Perez-Alamo, Jennifer

Planes, Alex

Quick, James

Rappaport, David

Rezvani, Caroline

Rieger, Eric

Ring, Stephen

Rodriguez, Margarita

Roshkind, David

Sanches, Melanie

Shofnos, Charles

Simpson, Natalie

Sirage, Ahmed

Snider, Erica

Steiner, Samantha

Strauss, Theodore

Suarez, Henry

Urquiza, Yeneir

Van Duyne, Tracy

Vazana, Todd

Vera, Anny

Vignola, Jennifer

Weisbrot, Bruce

Young, Summer

Yu, Cynthia

Ziegler, Neal

64 of68Pages64 08/29/2016

Page 65: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

PALM BEACHCOUNTY/CONDADO

PALM BEACH

WELLINGTON

General Dentist

13889 Wellington Trce Ste A5Wellington, FL 33414(561) 795-8900

Sage Dental Of Wellington PA

Facility Number 054412

Zylbering, Jason

PALM BEACH

WELLINGTON

General Dentist

1937 N Military Trl Ste UWellington, FL 33409(561) 683-7699

Sage Dental of West Palm Beach Military Trail, PA

Facility Number 054416

Alvarado-Romero Pou, Melissa

Alvarez, Jonathan

Azari, Scott

Bergquist, Michael

Bockian, Joshua

Bratman, Jerry

Buscemi, Amanda

Castillo, Juan

Chatani, Maria

Childers, Carmen

Coronado, Efrain

Cowan, Marc

Cruz, Antonio

Daneshpajouh, Sara

Darojat, Zuhdiyah

Dean, Craig

Draizin, Claudia

Driscoll, Allison

Duarte, Beatriz

Durkan, Marcia

Engelsberg, David

Fernandez-Martinez, Mariangel

Fox, Jeffrey

Garcia-Porras, Marcela

Garrison, Harvey

Gedeon, Rose

Ghattas, Maureen

Gilbert, Mark

Guerrero, Luis

Gul, Yousaf

Guthrie, Kelly

Harrouff, Wade

Horwitz, Steven

Israel, Elie

Juma, Zaileen

PALM BEACH

WELLINGTON

General Dentist

1937 N Military Trl Ste UWellington, FL 33409(561) 683-7699

Sage Dental of West Palm Beach Military Trail, PA

Facility Number 054416

Lamb, Nicole

Londono, Jennifer

Ma, Robert

Mohr, Eric

Moncrieffe, Tiffany

Naguib, Michelle

Napoli, Marisa

Ortega, Laura

Ortiz, Ana

Ortiz Perez, Marta

Pare, Elizabeth

Perez-Alamo, Jennifer

Planes, Alex

Quick, James

Rappaport, David

Rezvani, Caroline

Rieger, Eric

Ring, Stephen

Rodriguez, Margarita

Roshkind, David

Sanches, Melanie

Shofnos, Charles

Simpson, Natalie

Snider, Erica

Steiner, Samantha

Strauss, Theodore

Suarez, Henry

Urquiza, Yeneir

Van Duyne, Tracy

Vazana, Todd

Vera, Anny

Vignola, Jennifer

Weisbrot, Bruce

Young, Summer

Yu, Cynthia

65 of68Pages65 08/29/2016

Page 66: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

PALM BEACHCOUNTY/CONDADO

PALM BEACH

WELLINGTON

General Dentist

1937 N Military Trl Ste UWellington, FL 33409(561) 683-7699

Sage Dental of West Palm Beach Military Trail, PA

Facility Number 054416

Ziegler, Neal

Zylbering, Jason

2247 Palm Beach Lakes Blvd Ste 104104Wellington, FL 33409(561) 684-2282

Shapiro Family Dentistry

Facility Number 024892

Shapiro, Dari

Shapiro, Seth

3319 State Road 7 Ste 201Wellington, FL 33449(561) 557-2542

Smile Creation Dental

Facility Number 055284

Vo, Danny

1037 S State Road 7 Ste 215Wellington, FL 33414(561) 333-4568

Toothtown Pediatric Dentistry Pa

Facility Number 005354

Yang, Sue

1035 S State Road 7 Ste 210Wellington, FL 33414(561) 792-8384

Vincent Faso DDS

Facility Number 016240

Faso, Vincent

PALM BEACH

WEST PALM BEACH

Pediatric Dentist

4288 Okeechobee BlvdWest Palm Beach, FL 33409(561) 683-6247

Cross County Mall Dental Pa

Facility Number 000007

Bond, Melanie

Bradley, Alijah

Di Re, Anthony

Fornos, Jorge

Fraga, Daynet

Gonzalez, Kelly

Gonzalez, Yanela

Gorfien, Joseph

Green, George

Guilarte, Rhona

Guthrie, Kelly

Hayate, Jessica

Henry, Carlianette

Kalai, Ronen

Kiani, Kamran

Kopynets, Viktor

Krasnov, Rostislav

Kunstmann, Vivian

Lago-Sanchez, Idelbis

Licina, Zeljka

Manzur, Kasim

Nelson, John

Pinto, Yenile

Quevedo, Fernando

Saltz, Jamie

Uzunova-Dimova, Kalina

Valdman, Vadim

Zand, Maximus

1497 Forest Hill Blvd Ste DWest Palm Beach, FL 33406(561) 964-4699

Gentle Dental Group of West Palm Beach Forest Hill

Facility Number 003444

Azari, Scott

PALM BEACH

WEST PALM BEACH

Pediatric Dentist

2260 Palm Bch Lk Blvd #201West Palm Beach, FL 33409(561) 683-5525

Group Dental Of The Palm Beaches

Facility Number 970601

Brown, John

Core, Enrico

4700 N Congress AveWest Palm Beach, FL 33407(561) 666-9691

Marianna Zadov Pa

Facility Number 046891

Krykhtin, Pavel

Zadov, Marianna

1441 Forest Hill Blvd #300West Palm Beach, FL 33406(561) 586-7502

Paul R Donatelli DMD Pa

Facility Number 048838

Donatelli, Paul

1217 S Military Trl Ste CWest Palm Beach, FL 33415(561) 642-6309

Perfect Dental INC

Facility Number 056903

Askowitz, Ronald

Morales, Alexis

Vallderuten-Castano, Alma

600 S Dixie Hwy Ste 105West Palm Beach, FL 33401(561) 820-8898

Premiere Dental Care PC

Facility Number 036789

Elperin, Alexei

Hui, Tin

66 of68Pages66 08/29/2016

Page 67: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

PALM BEACHCOUNTY/CONDADO

PALM BEACH

WEST PALM BEACH

Pediatric Dentist

1535 Prosperity Farms RdWest Palm Beach, FL 33403(561) 848-0987

Prosperity Dental Group

Facility Number OSPERI

Royzman, Anna

PALM BEACH

WEST PALM BEACH

Pediatric Dentist

137 S State Rd Ste 301West Palm Beach, FL 33414(461) 202-6880

Sage Dental of Royal Palm Beach PLLC

Facility Number 054393

Alvarado-Romero Pou, Melissa

Alvarez, Jonathan

Azari, Scott

Bergquist, Michael

Bratman, Jerry

Buscemi, Amanda

Castillo, Juan

Chatani, Maria

Childers, Carmen

Coronado, Efrain

Cowan, Marc

Cruz, Antonio

Daneshpajouh, Sara

Darojat, Zuhdiyah

Dean, Craig

Draizin, Claudia

Driscoll, Allison

Duarte, Beatriz

Durkan, Marcia

Engelsberg, David

Fernandez-Martinez, Mariangel

Fox, Jeffrey

Garcia-Porras, Marcela

Garrison, Harvey

Gedeon, Rose

Ghattas, Maureen

Gilbert, Mark

Guerrero, Luis

Gul, Yousaf

Guthrie, Kelly

Harrouff, Wade

Horwitz, Steven

Israel, Elie

Juma, Zaileen

Lamb, Nicole

PALM BEACH

WEST PALM BEACH

Pediatric Dentist

137 S State Rd Ste 301West Palm Beach, FL 33414(461) 202-6880

Sage Dental of Royal Palm Beach PLLC

Facility Number 054393

Londono, Jennifer

Ma, Robert

Mohr, Eric

Moncrieffe, Tiffany

Naguib, Michelle

Napoli, Marisa

Newton, Emily

Ortega, Laura

Ortiz, Ana

Ortiz Perez, Marta

Pare, Elizabeth

Perez-Alamo, Jennifer

Planes, Alex

Quick, James

Rappaport, David

Rezvani, Caroline

Rieger, Eric

Ring, Stephen

Rodriguez, Margarita

Roshkind, David

Shofnos, Charles

Simpson, Natalie

Sirage, Ahmed

Snider, Erica

Steiner, Samantha

Strauss, Theodore

Suarez, Henry

Urquiza, Yeneir

Van Duyne, Tracy

Vazana, Todd

Weisbrot, Bruce

Young, Summer

Yu, Cynthia

Ziegler, Neal

Zylbering, Jason

67 of68Pages67 08/29/2016

Page 68: BROWARD COCONUT CREEK Pediatric Dentistmdcps.fbmcbenefitscommunications.com/assets/deltacare-082016... · BROWARD COCONUT CREEK Pediatric Dentist 5463 Lyons Rd Ste C Coconut Creek,

PALM BEACH - BROWARDCOUNTY/CONDADO

PALM BEACH

WEST PALM BEACH

Pediatric Dentist

2315 S Dixie HwyWest Palm Beach, FL 33401(561) 833-1042

Sergey Korol DMD Pa

Facility Number 036598

Korol, Sergey

333 Southern Blvd Ste 101West Palm Beach, FL 33405(561) 835-0633

Yanice Gomez-Gonzalez DMD

Facility Number 027997

Gonzalez, Yanice

68 of68Pages68 08/29/2016