| Ambiance Surgical Arts Center | |
|
8501 Sw 124th Ave Ste 208 Miami FL 33183-4633 | |
| (786) 377-4344 | |
| (786) 377-4364 |
| Full Name | Ambiance Surgical Arts Center |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 8501 Sw 124th Ave Ste 208, Miami, Florida |
| Authorized Official Name and Position | Jerri D Hines (OWNER) |
| Authorized Official Contact | 7863774344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ambiance Surgical Arts Center 8501 Sw 124th Ave Ste 208 Miami FL 33183-4633 Ph: (786) 377-4344 | Ambiance Surgical Arts Center 8501 Sw 124th Ave Ste 208 Miami FL 33183-4633 Ph: (786) 377-4344 |
| NPI Number | 1437703535 |
|---|---|
| Provider Enumeration Date | 07/26/2019 |
| Last Update Date | 07/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437703535 | NPI | - | NPPES |
| TPVP162861-09 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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