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7775 Sw 87th Ave Ste 112 Miami FL 33173-2536 | |
| (305) 598-9072 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 7775 Sw 87th Ave Ste 112, Miami, Florida |
| Authorized Official Name and Position | Courtney Monteith (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7775 Sw 87th Ave Ste 112 Miami FL 33173-2536 Ph: () - | 7775 Sw 87th Ave Ste 112 Miami FL 33173-2536 Ph: (305) 598-9072 |
| NPI Number | 1588391502 |
|---|---|
| Provider Enumeration Date | 08/02/2022 |
| Last Update Date | 08/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588391502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Primary |
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