| Professional Dental Solutions, Inc | |
|
7900 Nw 27 Ave. #275 Miami FL 33147 | |
| (305) 693-7988 | |
| (305) 693-6704 |
| Full Name | Professional Dental Solutions, Inc |
|---|---|
| Speciality | Dentist |
| Location | 7900 Nw 27 Ave., Miami, Florida |
| Authorized Official Name and Position | Gertrudis Diaz (DENTIST) |
| Authorized Official Contact | 3056937988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Dental Solutions, Inc 7900 Nw 27 Ave. #275 Miami FL 33147 Ph: (305) 693-7988 | Professional Dental Solutions, Inc 7900 Nw 27 Ave. #275 Miami FL 33147 Ph: (305) 693-7988 |
| NPI Number | 1851688303 |
|---|---|
| Provider Enumeration Date | 07/06/2011 |
| Last Update Date | 07/06/2011 |
| Medicare PECOS PAC ID | 0345503728 |
|---|---|
| Medicare Enrollment ID | O20180417002667 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851688303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| Provider Name | Gertrudis Diaz |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1932248044 PECOS PAC ID: 5991004301 Enrollment ID: I20190404001419 |
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