| Ideal Dental, Inc. | |
|
8603 S Dixie Hwy Ste 411 Pinecrest FL 33156-1196 | |
| (305) 771-0874 | |
| Not Available |
| Full Name | Ideal Dental, Inc. |
|---|---|
| Speciality | Case Manager/care Coordinator |
| Location | 8603 S Dixie Hwy Ste 411, Pinecrest, Florida |
| Authorized Official Name and Position | Magin Carreras (PRESIDENT) |
| Authorized Official Contact | 3057710874 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Dental, Inc. 8603 S Dixie Hwy Ste 411 Pinecrest FL 33156-1196 Ph: (305) 771-0874 | Ideal Dental, Inc. 8603 S Dixie Hwy Ste 411 Pinecrest FL 33156-1196 Ph: (305) 771-0874 |
| NPI Number | 1063934115 |
|---|---|
| Provider Enumeration Date | 07/11/2017 |
| Last Update Date | 02/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063934115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
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