| Port Of Miami Dental | |
|
1015 N America Wy #150 Miami FL 33132 | |
| (305) 530-0706 | |
| (305) 358-5440 |
| Full Name | Port Of Miami Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1015 N America Wy, Miami, Florida |
| Authorized Official Name and Position | Joseph Kilshtok (PRESIDENT) |
| Authorized Official Contact | 3059339634 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Port Of Miami Dental 2100 E Hallandale Bch Blvd #304 Hallandale FL 33009 Ph: (954) 456-2100 | Port Of Miami Dental 1015 N America Wy #150 Miami FL 33132 Ph: (305) 530-0706 |
| NPI Number | 1235205493 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 11/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235205493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | FLDN10774 (Florida) | Primary |
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