| International Dental Clinic, Pa | |
|
9100 Sw 24th St Ste 4 Miami FL 33165-2066 | |
| (786) 401-6798 | |
| Not Available |
| Full Name | International Dental Clinic, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9100 Sw 24th St Ste 4, Miami, Florida |
| Authorized Official Name and Position | Filiberto J Herdocia (PRESIDENT) |
| Authorized Official Contact | 7864016798 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| International Dental Clinic, Pa 9100 Sw 24th St Ste 4 Miami FL 33165-2066 Ph: (786) 401-6798 | International Dental Clinic, Pa 9100 Sw 24th St Ste 4 Miami FL 33165-2066 Ph: (786) 401-6798 |
| NPI Number | 1346629292 |
|---|---|
| Provider Enumeration Date | 05/26/2015 |
| Last Update Date | 05/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346629292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN11609 (Florida) | Primary |
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