| Illustradent Key Biscayne Pllc | |
|
240 Crandon Blvd Suite 104 Key Biscayne FL 33149-1543 | |
| (305) 361-5493 | |
| Not Available |
| Full Name | Illustradent Key Biscayne Pllc |
|---|---|
| Speciality | Dentist |
| Location | 240 Crandon Blvd, Key Biscayne, Florida |
| Authorized Official Name and Position | Mara Pilavsky (MANAGING MEMBER) |
| Authorized Official Contact | 3053615493 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illustradent Key Biscayne Pllc 236 Woodlands Rd Harrison NY 10528-1322 Ph: (305) 361-5493 | Illustradent Key Biscayne Pllc 240 Crandon Blvd Suite 104 Key Biscayne FL 33149-1543 Ph: (305) 361-5493 |
| NPI Number | 1114305018 |
|---|---|
| Provider Enumeration Date | 05/11/2015 |
| Last Update Date | 12/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114305018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN18909 (Florida) | Primary |
Hernandez Lea Plaza Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 141 Crandon Blvd Apt 433, Key Biscayne, FL 33149 Phone: 786-266-5383 | |
Neil A. Friedman, Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 969 Crandon Blvd, Key Biscayne, FL 33149 Phone: 305-361-2096 |