| Pinecrest Family Dental | |
|
8181 Sw 117th St Pinecrest FL 33156-4448 | |
| (305) 235-0020 | |
| (305) 971-7670 |
| Full Name | Pinecrest Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8181 Sw 117th St, Pinecrest, Florida |
| Authorized Official Name and Position | Taidy Costoya (MANAGING MEMBER/ OWNER) |
| Authorized Official Contact | 3052350020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinecrest Family Dental 8181 Sw 117th St Pinecrest FL 33156-4448 Ph: (305) 235-0020 | Pinecrest Family Dental 8181 Sw 117th St Pinecrest FL 33156-4448 Ph: (305) 235-0020 |
| NPI Number | 1316317530 |
|---|---|
| Provider Enumeration Date | 09/30/2015 |
| Last Update Date | 05/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316317530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN17603 (Florida) | Primary |
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