| Bosque DDS LLC | |
|
1330 Coral Way Ste 100 Miami FL 33145-2929 | |
| (305) 285-5150 | |
| (305) 285-5174 |
| Full Name | Bosque DDS LLC |
|---|---|
| Speciality | Dentist |
| Location | 1330 Coral Way Ste 100, Miami, Florida |
| Authorized Official Name and Position | Pamela Vanessa Bosque Guevara (OWNER) |
| Authorized Official Contact | 3052855150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bosque DDS LLC 1330 Coral Way Ste 100 Miami FL 33145-2929 Ph: (305) 285-5150 | Bosque DDS LLC 1330 Coral Way Ste 100 Miami FL 33145-2929 Ph: (305) 285-5150 |
| NPI Number | 1396696761 |
|---|---|
| Provider Enumeration Date | 02/03/2026 |
| Last Update Date | 02/03/2026 |
| Certification Date | 02/03/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396696761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (NU) | Primary |
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