| West Dade Community Health Centers, Inc. | |
|
14740 Sw 26 Street Suite 107 Miami FL 33185 | |
| (305) 220-4918 | |
| Not Available |
| Full Name | West Dade Community Health Centers, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 14740 Sw 26 Street, Miami, Florida |
| Authorized Official Name and Position | Ricardo Mualin (CEO) |
| Authorized Official Contact | 3052204918 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Dade Community Health Centers, Inc. 14740 Sw 26 Street Suite 107 Miami FL 33185 Ph: (305) 220-4918 | West Dade Community Health Centers, Inc. 14740 Sw 26 Street Suite 107 Miami FL 33185 Ph: (305) 220-4918 |
| NPI Number | 1013303767 |
|---|---|
| Provider Enumeration Date | 04/09/2015 |
| Last Update Date | 04/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013303767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN19336 (Florida) | Primary |
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