Pediatric Dentistry Of Kendall | |
11790 Sw 89th St Miami FL 33186-2165 | |
(305) 271-1151 | |
Not Available |
Full Name | Pediatric Dentistry Of Kendall |
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Speciality | Dentist - Pediatric Dentistry |
Location | 11790 Sw 89th St, Miami, Florida |
Authorized Official Name and Position | Juan Diego Cardenas (DENTIST OWNER) |
Authorized Official Contact | 3052711151 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pediatric Dentistry Of Kendall 11790 Sw 89th St Miami FL 33186-2165 Ph: (305) 271-1151 | Pediatric Dentistry Of Kendall 11790 Sw 89th St Miami FL 33186-2165 Ph: (305) 271-1151 |
NPI Number | 1114283611 |
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Provider Enumeration Date | 04/09/2012 |
Last Update Date | 04/09/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114283611 | NPI | - | NPPES |
1740338201 | Other | FL | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 12829 (Florida) | Secondary |
1223P0221X | Dentist - Pediatric Dentistry | 181138 (Florida) | Primary |
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