| Porras Dental | |
|
3909 N Andrews Ave Oakland Park FL 33309-5239 | |
| (954) 561-6675 | |
| Not Available |
| Full Name | Porras Dental |
|---|---|
| Speciality | Clinic/Center |
| Location | 3909 N Andrews Ave, Oakland Park, Florida |
| Authorized Official Name and Position | Juan Pablo Porras (OWNER) |
| Authorized Official Contact | 9546449884 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Porras Dental 3909 N Andrews Ave Oakland Park FL 33309-5239 Ph: (954) 561-6675 | Porras Dental 3909 N Andrews Ave Oakland Park FL 33309-5239 Ph: (954) 561-6675 |
| NPI Number | 1891560033 |
|---|---|
| Provider Enumeration Date | 11/17/2023 |
| Last Update Date | 11/17/2023 |
| Medicare PECOS PAC ID | 7517318652 |
|---|---|
| Medicare Enrollment ID | O20240112002172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891560033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Juan Pablo Porras |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1396421988 PECOS PAC ID: 8426409566 Enrollment ID: I20240112002314 |
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