K Dental Corp | |
13550 Sw 88th St Ste 170 Miami FL 33186-1543 | |
(305) 387-3002 | |
Not Available |
Full Name | K Dental Corp |
---|---|
Speciality | Dentist |
Location | 13550 Sw 88th St Ste 170, Miami, Florida |
Authorized Official Name and Position | Ana B Torres Bustillo (VICE PRESIDENT) |
Authorized Official Contact | 3053873002 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
K Dental Corp 13550 Sw 88th St Ste 170 Miami FL 33186-1543 Ph: (305) 387-3002 | K Dental Corp 13550 Sw 88th St Ste 170 Miami FL 33186-1543 Ph: (305) 387-3002 |
NPI Number | 1225570963 |
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Provider Enumeration Date | 11/11/2016 |
Last Update Date | 11/11/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225570963 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DN 21582 (Florida) | Primary |
122300000X | Dentist | DN 21512 (Florida) | Secondary |
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