| Westside Orthodonticts And Pediatric Dentistry | |
|
16223 Miramar Pkwy Miramar FL 33027-4572 | |
| (954) 644-2332 | |
| (954) 433-4312 |
| Full Name | Westside Orthodonticts And Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 16223 Miramar Pkwy, Miramar, Florida |
| Authorized Official Name and Position | David E Thome (OWNER) |
| Authorized Official Contact | 9546442332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westside Orthodonticts And Pediatric Dentistry 16223 Miramar Pkwy Miramar FL 33027-4572 Ph: (954) 644-2332 | Westside Orthodonticts And Pediatric Dentistry 16223 Miramar Pkwy Miramar FL 33027-4572 Ph: (954) 644-2332 |
| NPI Number | 1750695920 |
|---|---|
| Provider Enumeration Date | 07/30/2010 |
| Last Update Date | 07/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750695920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN18799 (Florida) | Primary |
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