| Professional Dental Alliance Of Homestead Ortho, Pllc | |
|
2870 Ne 8th St Homestead FL 33033-5695 | |
| (305) 547-8398 | |
| Not Available |
| Full Name | Professional Dental Alliance Of Homestead Ortho, Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2870 Ne 8th St, Homestead, Florida |
| Authorized Official Name and Position | Lauren Howard (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7575765479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Dental Alliance Of Homestead Ortho, Pllc 11 S Mill St Ste 200 New Castle PA 16101-3680 Ph: () - | Professional Dental Alliance Of Homestead Ortho, Pllc 2870 Ne 8th St Homestead FL 33033-5695 Ph: (305) 547-8398 |
| NPI Number | 1124675038 |
|---|---|
| Provider Enumeration Date | 08/26/2019 |
| Last Update Date | 08/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124675038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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