| International Dental Group | |
|
1030 N Royal Poinciana Blvd Miami Springs FL 33166-3257 | |
| (786) 558-4100 | |
| (866) 305-9918 |
| Full Name | International Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1030 N Royal Poinciana Blvd, Miami Springs, Florida |
| Authorized Official Name and Position | Renate E Manns (VP) |
| Authorized Official Contact | 7865584100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| International Dental Group 1030 N Royal Poinciana Blvd Miami Springs FL 33166-3257 Ph: (786) 558-4100 | International Dental Group 1030 N Royal Poinciana Blvd Miami Springs FL 33166-3257 Ph: (786) 558-4100 |
| NPI Number | 1558709873 |
|---|---|
| Provider Enumeration Date | 06/08/2013 |
| Last Update Date | 06/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558709873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN1834 (Florida) | Primary |
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