| American Pediatric Dental Pines Llc | |
|
18501 Pines Blvd Ste 211 Pembroke Pines FL 33029-1420 | |
| (954) 417-1337 | |
| (954) 417-1338 |
| Full Name | American Pediatric Dental Pines Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 18501 Pines Blvd Ste 211, Pembroke Pines, Florida |
| Authorized Official Name and Position | Richelle Pena (DIRECTOR OF CORPORATE) |
| Authorized Official Contact | 4155185117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| American Pediatric Dental Pines Llc 18501 Pines Blvd Ste 211 Pembroke Pines FL 33029-1420 Ph: (954) 417-1337 | American Pediatric Dental Pines Llc 18501 Pines Blvd Ste 211 Pembroke Pines FL 33029-1420 Ph: (954) 417-1337 |
| NPI Number | 1508396847 |
|---|---|
| Provider Enumeration Date | 06/19/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508396847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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