| Pembrokemirodentaloffice | |
|
12251 Taft St Ste 400 Pembroke Pines FL 33026-1956 | |
| (954) 436-7699 | |
| Not Available |
| Full Name | Pembrokemirodentaloffice |
|---|---|
| Speciality | Dentist |
| Location | 12251 Taft St Ste 400, Pembroke Pines, Florida |
| Authorized Official Name and Position | Claudio Miro (DR) |
| Authorized Official Contact | 3052734334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pembrokemirodentaloffice 12251 Taft St Ste 400 Pembroke Pines FL 33026-1956 Ph: (954) 436-7699 | Pembrokemirodentaloffice 12251 Taft St Ste 400 Pembroke Pines FL 33026-1956 Ph: (954) 436-7699 |
| NPI Number | 1194034777 |
|---|---|
| Provider Enumeration Date | 09/30/2010 |
| Last Update Date | 09/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194034777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN11650 (Florida) | Primary |
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