| Casa Smiles Pediatric Dentistry And Orthodontics | |
|
5965 Ponce De Leon Blvd Coral Gables FL 33146-2436 | |
| (305) 662-7702 | |
| (305) 662-2552 |
| Full Name | Casa Smiles Pediatric Dentistry And Orthodontics |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5965 Ponce De Leon Blvd, Coral Gables, Florida |
| Authorized Official Name and Position | Maigrely Abreu-hernandez (OWNER) |
| Authorized Official Contact | 3056627702 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Casa Smiles Pediatric Dentistry And Orthodontics 5965 Ponce De Leon Blvd Coral Gables FL 33146-2436 Ph: (305) 662-7702 | Casa Smiles Pediatric Dentistry And Orthodontics 5965 Ponce De Leon Blvd Coral Gables FL 33146-2436 Ph: (305) 662-7702 |
| NPI Number | 1205180445 |
|---|---|
| Provider Enumeration Date | 11/08/2012 |
| Last Update Date | 12/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205180445 | NPI | - | NPPES |
| 0014724-00 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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