| Mch Toothtown | |
|
3100 Sw 62nd Ave Miami FL 33155-3009 | |
| (305) 663-8538 | |
| (305) 662-8314 |
| Full Name | Mch Toothtown |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3100 Sw 62nd Ave, Miami, Florida |
| Authorized Official Name and Position | Pedro Alfaro (CFO & SENIOR VP) |
| Authorized Official Contact | 3056666511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mch Toothtown 3100 Sw 62nd Ave Miami FL 33155-3009 Ph: (305) 663-8538 | Mch Toothtown 3100 Sw 62nd Ave Miami FL 33155-3009 Ph: (305) 663-8538 |
| NPI Number | 1285840645 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 06/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285840645 | NPI | - | NPPES |
| 074560000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (Florida) | Primary |
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