| Elitedent Pb | |
|
16935 S Dixie Hwy Palmetto Bay FL 33157-4361 | |
| (305) 646-6700 | |
| Not Available |
| Full Name | Elitedent Pb |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 16935 S Dixie Hwy, Palmetto Bay, Florida |
| Authorized Official Name and Position | Jacqueline Correa (PRESIDENT) |
| Authorized Official Contact | 7863515050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elitedent Pb 16935 S Dixie Hwy Palmetto Bay FL 33157-4361 Ph: (305) 646-6700 | Elitedent Pb 16935 S Dixie Hwy Palmetto Bay FL 33157-4361 Ph: (305) 646-6700 |
| NPI Number | 1205655347 |
|---|---|
| Provider Enumeration Date | 10/07/2024 |
| Last Update Date | 10/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205655347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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