| Miami Lakes Periodontal And Cosmetic Center | |
|
7735 Nw 146th St Ste 104 Miami Lakes FL 33016-1583 | |
| (305) 556-7010 | |
| (305) 231-3984 |
| Full Name | Miami Lakes Periodontal And Cosmetic Center |
|---|---|
| Speciality | Dentist |
| Location | 7735 Nw 146th St Ste 104, Miami Lakes, Florida |
| Authorized Official Name and Position | Robert Del Castillo (OWNER) |
| Authorized Official Contact | 3055567010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miami Lakes Periodontal And Cosmetic Center 7735 Nw 146th St Ste 104 Miami Lakes FL 33016-1583 Ph: (305) 556-7010 | Miami Lakes Periodontal And Cosmetic Center 7735 Nw 146th St Ste 104 Miami Lakes FL 33016-1583 Ph: (305) 556-7010 |
| NPI Number | 1497001259 |
|---|---|
| Provider Enumeration Date | 07/31/2012 |
| Last Update Date | 07/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497001259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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