| Pediatric Dental Center Of West Kendall Inc | |
|
9075 Sw 162nd Ave Ste 110&112 Miami FL 33196-6437 | |
| (954) 513-9277 | |
| Not Available |
| Full Name | Pediatric Dental Center Of West Kendall Inc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 9075 Sw 162nd Ave Ste 110&112, Miami, Florida |
| Authorized Official Name and Position | Enrique Acosta (PRESIDENT) |
| Authorized Official Contact | 3054568314 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Center Of West Kendall Inc 9075 Sw 162nd Ave Ste 110&112 Miami FL 33196-6437 Ph: (954) 513-9277 | Pediatric Dental Center Of West Kendall Inc 9075 Sw 162nd Ave Ste 110&112 Miami FL 33196-6437 Ph: (954) 513-9277 |
| NPI Number | 1689255218 |
|---|---|
| Provider Enumeration Date | 04/15/2021 |
| Last Update Date | 06/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689255218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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