| Miami Shores Modern Dentistry | |
|
9503 Ne 2nd Ave Miami Shores FL 33138-2704 | |
| (786) 310-4816 | |
| (786) 623-0927 |
| Full Name | Miami Shores Modern Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9503 Ne 2nd Ave, Miami Shores, Florida |
| Authorized Official Name and Position | Minh B Pham (OWNER DENTIST) |
| Authorized Official Contact | 7863104816 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miami Shores Modern Dentistry 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | Miami Shores Modern Dentistry 9503 Ne 2nd Ave Miami Shores FL 33138-2704 Ph: (786) 310-4816 |
| NPI Number | 1427418748 |
|---|---|
| Provider Enumeration Date | 02/29/2016 |
| Last Update Date | 06/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427418748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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