| Miami Gardens Dental,inc | |
|
4538 Nw 183rd St Miami Gardens FL 33055-3045 | |
| (305) 625-8272 | |
| Not Available |
| Full Name | Miami Gardens Dental,inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4538 Nw 183rd St, Miami Gardens, Florida |
| Authorized Official Name and Position | Luisa Y Corrales-iglesias (PRESIDENT) |
| Authorized Official Contact | 3056258272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miami Gardens Dental,inc 4538 Nw 183rd St Miami Gardens FL 33055-3045 Ph: (305) 625-8272 | Miami Gardens Dental,inc 4538 Nw 183rd St Miami Gardens FL 33055-3045 Ph: (305) 625-8272 |
| NPI Number | 1558663906 |
|---|---|
| Provider Enumeration Date | 11/17/2010 |
| Last Update Date | 11/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558663906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN17100 (Florida) | Secondary |
| 1223G0001X | Dentist - General Practice | DN17100 (Florida) | Primary |
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