| Miami Beach Dental Specialty Center Llc | |
|
900 71st St Miami Beach FL 33141-2916 | |
| (305) 761-1178 | |
| Not Available |
| Full Name | Miami Beach Dental Specialty Center Llc |
|---|---|
| Speciality | Dentist |
| Location | 900 71st St, Miami Beach, Florida |
| Authorized Official Name and Position | Jeffrey H Gordon (MEMBER) |
| Authorized Official Contact | 3057611178 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miami Beach Dental Specialty Center Llc 900 71st St Miami Beach FL 33141-2916 Ph: (305) 761-1178 | Miami Beach Dental Specialty Center Llc 900 71st St Miami Beach FL 33141-2916 Ph: (305) 761-1178 |
| NPI Number | 1417183013 |
|---|---|
| Provider Enumeration Date | 06/09/2009 |
| Last Update Date | 06/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417183013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN0011082 (Florida) | Primary |
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