| Dr. Implant | |
|
9050 Pines Blvd Ste 420 Pembroke Pines FL 33024-6443 | |
| (954) 697-4533 | |
| Not Available |
| Full Name | Dr. Implant |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9050 Pines Blvd Ste 420, Pembroke Pines, Florida |
| Authorized Official Name and Position | Jose Alberto (CEO) |
| Authorized Official Contact | 7866830698 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Implant 8250 Sw 180th St Palmetto Bay FL 33157-6130 Ph: (786) 229-0698 | Dr. Implant 9050 Pines Blvd Ste 420 Pembroke Pines FL 33024-6443 Ph: (954) 697-4533 |
| NPI Number | 1457088916 |
|---|---|
| Provider Enumeration Date | 08/04/2022 |
| Last Update Date | 02/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457088916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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