| Dental Services Of Town And Country, Pa | |
|
13776 Sw 152nd St Miami FL 33177-1163 | |
| (305) 255-8855 | |
| Not Available |
| Full Name | Dental Services Of Town And Country, Pa |
|---|---|
| Speciality | Dentist |
| Location | 13776 Sw 152nd St, Miami, Florida |
| Authorized Official Name and Position | Antonio Otero (PRESIDENT/OWNER) |
| Authorized Official Contact | 3056061232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Services Of Town And Country, Pa 13776 Sw 152nd St Miami FL 33177-1163 Ph: (305) 255-8855 | Dental Services Of Town And Country, Pa 13776 Sw 152nd St Miami FL 33177-1163 Ph: (305) 255-8855 |
| NPI Number | 1376823781 |
|---|---|
| Provider Enumeration Date | 08/17/2011 |
| Last Update Date | 08/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376823781 | NPI | - | NPPES |
| 077828102 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN10814 (Florida) | Primary |
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