| Miramar Modern Dentistry, Pa | |
|
12621 Miramar Pkwy Bay 102 Miramar FL 33027-2910 | |
| (954) 621-1496 | |
| (954) 666-6199 |
| Full Name | Miramar Modern Dentistry, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12621 Miramar Pkwy Bay 102, Miramar, Florida |
| Authorized Official Name and Position | Minh Pham (OWNER) |
| Authorized Official Contact | 9546211496 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miramar Modern Dentistry, Pa Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8890 | Miramar Modern Dentistry, Pa 12621 Miramar Pkwy Bay 102 Miramar FL 33027-2910 Ph: (954) 621-1496 |
| NPI Number | 1821667684 |
|---|---|
| Provider Enumeration Date | 06/24/2021 |
| Last Update Date | 06/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821667684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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