Kids Care Dental | |
10794 Pines Blvd Suite 101 Pembroke Pines FL 33026-3920 | |
(954) 432-1607 | |
(954) 432-6716 |
Full Name | Kids Care Dental |
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Speciality | Dentist - Pediatric Dentistry |
Location | 10794 Pines Blvd, Pembroke Pines, Florida |
Authorized Official Name and Position | Nigel D. Grandison (OWNER/PROVIDER) |
Authorized Official Contact | 9544321607 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kids Care Dental 10794 Pines Blvd Suite 101 Pembroke Pines FL 33026-3920 Ph: (954) 432-1607 | Kids Care Dental 10794 Pines Blvd Suite 101 Pembroke Pines FL 33026-3920 Ph: (954) 432-1607 |
NPI Number | 1225274517 |
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Provider Enumeration Date | 12/17/2008 |
Last Update Date | 12/17/2008 |
Identifier | Type | State | Issuer |
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1225274517 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 14446 (Florida) | Primary |
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