| Elite Smiles Pediatric Dentistry | |
|
18240 Sw 147th Ave Miami FL 33187-1813 | |
| (305) 570-1833 | |
| Not Available |
| Full Name | Elite Smiles Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 18240 Sw 147th Ave, Miami, Florida |
| Authorized Official Name and Position | Fabiola Ortega (OWNER) |
| Authorized Official Contact | 3055862328 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Smiles Pediatric Dentistry 15645 Sw 176th Ter Miami FL 33187-6706 Ph: (305) 570-1833 | Elite Smiles Pediatric Dentistry 18240 Sw 147th Ave Miami FL 33187-1813 Ph: (305) 570-1833 |
| NPI Number | 1215648969 |
|---|---|
| Provider Enumeration Date | 12/13/2022 |
| Last Update Date | 12/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215648969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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