| Specialized Dentistry Of Miami, Pa | |
|
2020 Sw 27th Ave Miami FL 33145-2541 | |
| (917) 279-0899 | |
| Not Available |
| Full Name | Specialized Dentistry Of Miami, Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2020 Sw 27th Ave, Miami, Florida |
| Authorized Official Name and Position | Ismael El Khouly Castilla (PRESIDENT) |
| Authorized Official Contact | 9172790899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialized Dentistry Of Miami, Pa 2020 Sw 27th Ave Miami FL 33145-2541 Ph: () - | Specialized Dentistry Of Miami, Pa 2020 Sw 27th Ave Miami FL 33145-2541 Ph: (917) 279-0899 |
| NPI Number | 1942848841 |
|---|---|
| Provider Enumeration Date | 12/11/2019 |
| Last Update Date | 04/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942848841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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