| Elite Dental Smile | |
|
4750 Nw 7th St Miami FL 33126-2253 | |
| (305) 442-2103 | |
| (305) 442-2116 |
| Full Name | Elite Dental Smile |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4750 Nw 7th St, Miami, Florida |
| Authorized Official Name and Position | Nelson Mujica (OWNER) |
| Authorized Official Contact | 3054422103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Dental Smile 4750 Nw 7th St Miami FL 33126-2253 Ph: (305) 442-2103 | Elite Dental Smile 4750 Nw 7th St Miami FL 33126-2253 Ph: (305) 442-2103 |
| NPI Number | 1629382346 |
|---|---|
| Provider Enumeration Date | 08/05/2010 |
| Last Update Date | 08/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629382346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN 11046 (Florida) | Primary |
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