| Dental Cosmetics Of Florida, Pa | |
|
9055 Sw 87 Avenue Suite 300 Miami FL 33176 | |
| (305) 595-5655 | |
| (305) 595-9011 |
| Full Name | Dental Cosmetics Of Florida, Pa |
|---|---|
| Speciality | Dentist |
| Location | 9055 Sw 87 Avenue, Miami, Florida |
| Authorized Official Name and Position | Antonio Otero (PRESIDENT) |
| Authorized Official Contact | 3055955655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Cosmetics Of Florida, Pa 9055 Sw 87 Avenue Suite 300 Miami FL 33176 Ph: (305) 595-5655 | Dental Cosmetics Of Florida, Pa 9055 Sw 87 Avenue Suite 300 Miami FL 33176 Ph: (305) 595-5655 |
| NPI Number | 1255543740 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 11/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255543740 | NPI | - | NPPES |
| 077828108 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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