| South Dental At Forest Lakes Kendall Square,inc | |
|
16705 Sw 95th St Miami FL 33196-4757 | |
| (786) 329-5909 | |
| Not Available |
| Full Name | South Dental At Forest Lakes Kendall Square,inc |
|---|---|
| Speciality | Dentist |
| Location | 16705 Sw 95th St, Miami, Florida |
| Authorized Official Name and Position | Carlos Lacayo (REGIONAL MANAGER) |
| Authorized Official Contact | 7862240848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Dental At Forest Lakes Kendall Square,inc 16705 Sw 95th St Miami FL 33196-4757 Ph: () - | South Dental At Forest Lakes Kendall Square,inc 16705 Sw 95th St Miami FL 33196-4757 Ph: (786) 329-5909 |
| NPI Number | 1659896652 |
|---|---|
| Provider Enumeration Date | 08/10/2017 |
| Last Update Date | 08/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659896652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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