| Cosmetic Dentistry Corporation | |
|
12955 Biscayne Blvd Suite 210 North Miami FL 33181-2037 | |
| (305) 892-0008 | |
| (305) 892-0018 |
| Full Name | Cosmetic Dentistry Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12955 Biscayne Blvd, North Miami, Florida |
| Authorized Official Name and Position | Elena Katz (PRESIDENT) |
| Authorized Official Contact | 3058920008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cosmetic Dentistry Corporation 12955 Biscayne Blvd Suite 210 North Miami FL 33181-2037 Ph: (305) 892-0008 | Cosmetic Dentistry Corporation 12955 Biscayne Blvd Suite 210 North Miami FL 33181-2037 Ph: (305) 892-0008 |
| NPI Number | 1184899866 |
|---|---|
| Provider Enumeration Date | 04/24/2008 |
| Last Update Date | 04/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184899866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN15913 (Florida) | Primary |
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