| Champion Smiles Pediatric Dentistry, Inc | |
|
1582 W 68th St Hialeah FL 33014-3810 | |
| (305) 564-1717 | |
| Not Available |
| Full Name | Champion Smiles Pediatric Dentistry, Inc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1582 W 68th St, Hialeah, Florida |
| Authorized Official Name and Position | Stephanie Mendigutia Machado (DENTIST/OWNER) |
| Authorized Official Contact | 3055641717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Champion Smiles Pediatric Dentistry, Inc 1582 W 68th St Hialeah FL 33014-3810 Ph: (305) 564-1717 | Champion Smiles Pediatric Dentistry, Inc 1582 W 68th St Hialeah FL 33014-3810 Ph: (305) 564-1717 |
| NPI Number | 1407614175 |
|---|---|
| Provider Enumeration Date | 03/07/2024 |
| Last Update Date | 03/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407614175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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