| North Miami Dental, Inc | |
|
610 Ne 124th St North Miami FL 33161-5523 | |
| (305) 893-5433 | |
| (305) 893-4475 |
| Full Name | North Miami Dental, Inc |
|---|---|
| Speciality | Dentist |
| Location | 610 Ne 124th St, North Miami, Florida |
| Authorized Official Name and Position | Denise Robinson (OFFICE MANAGER) |
| Authorized Official Contact | 3058935433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Miami Dental, Inc 610 Ne 124th St North Miami FL 33161-5523 Ph: (305) 893-5433 | North Miami Dental, Inc 610 Ne 124th St North Miami FL 33161-5523 Ph: (305) 893-5433 |
| NPI Number | 1306189386 |
|---|---|
| Provider Enumeration Date | 03/28/2013 |
| Last Update Date | 03/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306189386 | NPI | - | NPPES |
| 1588890321 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN0014786 (Florida) | Primary |
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