| Westland Mall Dental, Pa | |
|
1665 W 49th St Ste 1484 Hialeah FL 33012-2957 | |
| (305) 828-7779 | |
| (305) 828-7651 |
| Full Name | Westland Mall Dental, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1665 W 49th St Ste 1484, Hialeah, Florida |
| Authorized Official Name and Position | Rostislav Krasnov (OWNER) |
| Authorized Official Contact | 3058287779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westland Mall Dental, Pa 1665 W 49th St Ste 1484 Hialeah FL 33012-2957 Ph: (305) 828-7779 | Westland Mall Dental, Pa 1665 W 49th St Ste 1484 Hialeah FL 33012-2957 Ph: (305) 828-7779 |
| NPI Number | 1609012632 |
|---|---|
| Provider Enumeration Date | 12/22/2008 |
| Last Update Date | 12/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609012632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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