| Health And Cosmetic Dental Care Pa | |
|
4150 Nw 7th St Ste 103 Miami FL 33126-5535 | |
| (305) 646-9222 | |
| (305) 646-6704 |
| Full Name | Health And Cosmetic Dental Care Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4150 Nw 7th St Ste 103, Miami, Florida |
| Authorized Official Name and Position | Gretell M Rodriguez (DENTIST) |
| Authorized Official Contact | 3056469222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Health And Cosmetic Dental Care Pa 4150 Nw 7th St Ste 103 Miami FL 33126-5535 Ph: (305) 646-9222 | Health And Cosmetic Dental Care Pa 4150 Nw 7th St Ste 103 Miami FL 33126-5535 Ph: (305) 646-9222 |
| NPI Number | 1417348467 |
|---|---|
| Provider Enumeration Date | 02/12/2015 |
| Last Update Date | 02/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417348467 | NPI | - | NPPES |
| 008147300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN19927 (Florida) | Primary |
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