| Modern Dental Center, Pa | |
|
8221 W Flagler St Miami FL 33144-2027 | |
| (305) 266-7000 | |
| (305) 261-0397 |
| Full Name | Modern Dental Center, Pa |
|---|---|
| Speciality | Dentist |
| Location | 8221 W Flagler St, Miami, Florida |
| Authorized Official Name and Position | Ciro Antonio Sotomayor (ORTHODONTIST) |
| Authorized Official Contact | 3052667000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Dental Center, Pa 8221 W Flagler St Miami FL 33144-2027 Ph: (305) 266-7000 | Modern Dental Center, Pa 8221 W Flagler St Miami FL 33144-2027 Ph: (305) 266-7000 |
| NPI Number | 1649451022 |
|---|---|
| Provider Enumeration Date | 11/14/2007 |
| Last Update Date | 11/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649451022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN12245 (Florida) | Primary |
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