| South Dental Homestead | |
|
925 Ne 30th Ter Ste 104 Homestead FL 33033-7614 | |
| (305) 508-7800 | |
| (305) 508-7300 |
| Full Name | South Dental Homestead |
|---|---|
| Speciality | Dentist |
| Location | 925 Ne 30th Ter Ste 104, Homestead, Florida |
| Authorized Official Name and Position | Jahn Oppenheimer (OWNER) |
| Authorized Official Contact | 3053887599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Dental Homestead 925 Ne 30th Ter Ste 104 Homestead FL 33033-7614 Ph: (305) 508-7800 | South Dental Homestead 925 Ne 30th Ter Ste 104 Homestead FL 33033-7614 Ph: (305) 508-7800 |
| NPI Number | 1346490216 |
|---|---|
| Provider Enumeration Date | 09/26/2008 |
| Last Update Date | 09/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346490216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 13563 (Florida) | Primary |
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