| South Florida Dental Care | |
|
922 E 25th St Hialeah FL 33013-3404 | |
| (178) 654-2970 | |
| (786) 542-9690 |
| Full Name | South Florida Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 922 E 25th St, Hialeah, Florida |
| Authorized Official Name and Position | Wendy Elizabeth Pinales Swanson (OWNER) |
| Authorized Official Contact | 3054099397 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Florida Dental Care 922 E 25th St Hialeah FL 33013-3404 Ph: (178) 654-2970 | South Florida Dental Care 922 E 25th St Hialeah FL 33013-3404 Ph: (178) 654-2970 |
| NPI Number | 1073092284 |
|---|---|
| Provider Enumeration Date | 08/08/2018 |
| Last Update Date | 08/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073092284 | NPI | - | NPPES |
| 1790085819 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Florida) | Primary |
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