| Southeastrern Dental Assoc, Vii, Pa | |
|
2482 Sw 27th Ter Miami FL 33133-3119 | |
| (305) 859-7949 | |
| (305) 866-7127 |
| Full Name | Southeastrern Dental Assoc, Vii, Pa |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2482 Sw 27th Ter, Miami, Florida |
| Authorized Official Name and Position | Kenneth D Rubinstein (PRESIDENT) |
| Authorized Official Contact | 3058667127 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastrern Dental Assoc, Vii, Pa 2482 Sw 27th Ter Miami FL 33133-3119 Ph: (305) 859-7949 | Southeastrern Dental Assoc, Vii, Pa 2482 Sw 27th Ter Miami FL 33133-3119 Ph: (305) 859-7949 |
| NPI Number | 1669703443 |
|---|---|
| Provider Enumeration Date | 01/19/2010 |
| Last Update Date | 01/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669703443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | DN 14485 (Florida) | Primary |
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