| Dental Specialists Of Homestead | |
|
190 Nw 14th St Homestead FL 33030-4240 | |
| (786) 355-4401 | |
| (305) 220-9966 |
| Full Name | Dental Specialists Of Homestead |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 190 Nw 14th St, Homestead, Florida |
| Authorized Official Name and Position | Ivan Pelton (ADMINISTRATIVE OPERATOR) |
| Authorized Official Contact | 3055308115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Specialists Of Homestead 10666 Fontainebleau Blvd Miami FL 33172-3117 Ph: (305) 220-8911 | Dental Specialists Of Homestead 190 Nw 14th St Homestead FL 33030-4240 Ph: (786) 355-4401 |
| NPI Number | 1417592247 |
|---|---|
| Provider Enumeration Date | 11/15/2019 |
| Last Update Date | 11/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417592247 | NPI | - | NPPES |
| P435417372860 | Other | FL | DRIVERS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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