| Pediatric Dental Center Of Palmetto Bay Inc | |
|
17037 S Dixie Hwy Palmetto Bay FL 33157-4362 | |
| (786) 368-6212 | |
| Not Available |
| Full Name | Pediatric Dental Center Of Palmetto Bay Inc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 17037 S Dixie Hwy, Palmetto Bay, Florida |
| Authorized Official Name and Position | Enrique Acosta (PRESIDENT) |
| Authorized Official Contact | 7867320802 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Center Of Palmetto Bay Inc 17037 S Dixie Hwy Palmetto Bay FL 33157-4362 Ph: (786) 368-6212 | Pediatric Dental Center Of Palmetto Bay Inc 17037 S Dixie Hwy Palmetto Bay FL 33157-4362 Ph: (786) 368-6212 |
| NPI Number | 1164003786 |
|---|---|
| Provider Enumeration Date | 04/15/2021 |
| Last Update Date | 06/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164003786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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