| Pines Dental Associates Inc | |
|
1541 N Palm Ave Pembroke Pines FL 33026-3229 | |
| (954) 432-6133 | |
| (954) 432-8989 |
| Full Name | Pines Dental Associates Inc |
|---|---|
| Speciality | Dentist |
| Location | 1541 N Palm Ave, Pembroke Pines, Florida |
| Authorized Official Name and Position | Milton Jaime Ruiz (PRESIDENT) |
| Authorized Official Contact | 9544326133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pines Dental Associates Inc 1541 N Palm Ave Pembroke Pines FL 33026-3229 Ph: (954) 432-6133 | Pines Dental Associates Inc 1541 N Palm Ave Pembroke Pines FL 33026-3229 Ph: (954) 432-6133 |
| NPI Number | 1881830941 |
|---|---|
| Provider Enumeration Date | 12/19/2008 |
| Last Update Date | 10/16/2023 |
| Medicare PECOS PAC ID | 7719324847 |
|---|---|
| Medicare Enrollment ID | O20240325001155 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881830941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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