Miami Beach Dental Specialty Center Llc | |
900 71st St Miami Beach FL 33141-2916 | |
(305) 761-1178 | |
Not Available |
Full Name | Miami Beach Dental Specialty Center Llc |
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Speciality | Dentist |
Location | 900 71st St, Miami Beach, Florida |
Authorized Official Name and Position | Jeffrey H Gordon (MEMBER) |
Authorized Official Contact | 3057611178 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Miami Beach Dental Specialty Center Llc 900 71st St Miami Beach FL 33141-2916 Ph: (305) 761-1178 | Miami Beach Dental Specialty Center Llc 900 71st St Miami Beach FL 33141-2916 Ph: (305) 761-1178 |
NPI Number | 1417183013 |
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Provider Enumeration Date | 06/09/2009 |
Last Update Date | 06/09/2009 |
Identifier | Type | State | Issuer |
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1417183013 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | DN0011082 (Florida) | Primary |
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