| Coral Way Dental Center Inc | |
|
9644 Sw 24th St Miami FL 33165-8015 | |
| (305) 227-0155 | |
| (305) 227-0189 |
| Full Name | Coral Way Dental Center Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9644 Sw 24th St, Miami, Florida |
| Authorized Official Name and Position | Yolanda Baez (OWNER) |
| Authorized Official Contact | 3052270155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coral Way Dental Center Inc 9644 Sw 24th St Miami FL 33165-8015 Ph: (305) 227-0155 | Coral Way Dental Center Inc 9644 Sw 24th St Miami FL 33165-8015 Ph: (305) 227-0155 |
| NPI Number | 1508107871 |
|---|---|
| Provider Enumeration Date | 03/11/2013 |
| Last Update Date | 03/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508107871 | NPI | - | NPPES |
| 073149800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN 11420 (Florida) | Primary |
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