| Pines Pediatric Dentistry And Orthodontics, Pllc | |
|
17767 Sw 2nd St Pembroke Pines FL 33029-3924 | |
| (561) 336-6560 | |
| (561) 336-6560 |
| Full Name | Pines Pediatric Dentistry And Orthodontics, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 17767 Sw 2nd St, Pembroke Pines, Florida |
| Authorized Official Name and Position | Mitchell Miller (OWNER) |
| Authorized Official Contact | 5613366560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pines Pediatric Dentistry And Orthodontics, Pllc 17767 Sw 2nd St Pembroke Pines FL 33029-3924 Ph: (561) 336-6560 | Pines Pediatric Dentistry And Orthodontics, Pllc 17767 Sw 2nd St Pembroke Pines FL 33029-3924 Ph: (561) 336-6560 |
| NPI Number | 1710696612 |
|---|---|
| Provider Enumeration Date | 11/18/2022 |
| Last Update Date | 11/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710696612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
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