| West Pines Modern Dentistry | |
|
18312 Pines Blvd Pembroke Pines FL 33029-1412 | |
| (786) 204-0713 | |
| (786) 204-0714 |
| Full Name | West Pines Modern Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 18312 Pines Blvd, Pembroke Pines, Florida |
| Authorized Official Name and Position | Katie Mccann (OWNER) |
| Authorized Official Contact | 7862040713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Pines Modern Dentistry 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | West Pines Modern Dentistry 18312 Pines Blvd Pembroke Pines FL 33029-1412 Ph: (786) 204-0713 |
| NPI Number | 1134654064 |
|---|---|
| Provider Enumeration Date | 04/28/2017 |
| Last Update Date | 04/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134654064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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