| St. John Dental Center P.a | |
|
161 Nw 29th St Miami FL 33127-3929 | |
| (786) 313-3330 | |
| Not Available |
| Full Name | St. John Dental Center P.a |
|---|---|
| Speciality | Dentist |
| Location | 161 Nw 29th St, Miami, Florida |
| Authorized Official Name and Position | Celia Figueroa (PRESIDENT) |
| Authorized Official Contact | 7863133330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. John Dental Center P.a 161 Nw 29th St Miami FL 33127-3929 Ph: () - | St. John Dental Center P.a 161 Nw 29th St Miami FL 33127-3929 Ph: (786) 313-3330 |
| NPI Number | 1497005276 |
|---|---|
| Provider Enumeration Date | 09/19/2012 |
| Last Update Date | 09/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497005276 | NPI | - | NPPES |
| 171794632 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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