| Pediatric Dentistry Of Miami Pllc | |
|
9485 Sw 72nd St Suite A240 Miami FL 33173-3242 | |
| (786) 360-5401 | |
| Not Available |
| Full Name | Pediatric Dentistry Of Miami Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 9485 Sw 72nd St, Miami, Florida |
| Authorized Official Name and Position | Derek Sanders (OWNER) |
| Authorized Official Contact | 3055983384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry Of Miami Pllc 9485 Sw 72 Street Suite A240 Miami FL 33173 Ph: (786) 360-5401 | Pediatric Dentistry Of Miami Pllc 9485 Sw 72nd St Suite A240 Miami FL 33173-3242 Ph: (786) 360-5401 |
| NPI Number | 1912318320 |
|---|---|
| Provider Enumeration Date | 05/20/2014 |
| Last Update Date | 05/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912318320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN18428 (Florida) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN17737 (Florida) | Secondary |
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