| Sonrisas Dental Clinic Inc | |
|
16875 Ne 15th Ave North Miami Beach FL 33162-2914 | |
| (305) 206-9981 | |
| Not Available |
| Full Name | Sonrisas Dental Clinic Inc |
|---|---|
| Speciality | Dentist |
| Location | 16875 Ne 15th Ave, North Miami Beach, Florida |
| Authorized Official Name and Position | Viviana Waich (OWNER) |
| Authorized Official Contact | 3059440000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sonrisas Dental Clinic Inc 16875 Ne 15th Ave North Miami Beach FL 33162-2914 Ph: (305) 944-0000 | Sonrisas Dental Clinic Inc 16875 Ne 15th Ave North Miami Beach FL 33162-2914 Ph: (305) 206-9981 |
| NPI Number | 1083251920 |
|---|---|
| Provider Enumeration Date | 12/10/2019 |
| Last Update Date | 06/01/2021 |
| Medicare PECOS PAC ID | 3173925898 |
|---|---|
| Medicare Enrollment ID | O20210716001415 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083251920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| Provider Name | Viviana Waich |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1528290871 PECOS PAC ID: 8921427188 Enrollment ID: I20201007002859 |
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