| Pediatric Dental Center Of Biscayne Inc | |
|
557 Ne 81st St Miami FL 33138-4519 | |
| (786) 368-6212 | |
| Not Available |
| Full Name | Pediatric Dental Center Of Biscayne Inc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 557 Ne 81st St, Miami, Florida |
| Authorized Official Name and Position | Enrique Acosta (PRESIDENT) |
| Authorized Official Contact | 7863686212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Center Of Biscayne Inc 2645 S Douglas Rd Suite # 703 Miami FL 33133-2754 Ph: (305) 448-3228 | Pediatric Dental Center Of Biscayne Inc 557 Ne 81st St Miami FL 33138-4519 Ph: (786) 368-6212 |
| NPI Number | 1154853927 |
|---|---|
| Provider Enumeration Date | 03/31/2017 |
| Last Update Date | 04/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154853927 | NPI | - | NPPES |
| PENDING | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN17284 (Florida) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | DN17284 (Florida) | Primary |
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