| Miami International Mall Dental, Pa | |
|
1455 Nw 107th Ave Ste 584 Doral FL 33172-2768 | |
| (305) 597-8787 | |
| (305) 597-8617 |
| Full Name | Miami International Mall Dental, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1455 Nw 107th Ave Ste 584, Doral, Florida |
| Authorized Official Name and Position | Rostislav Krasnov (OWNER) |
| Authorized Official Contact | 3055978787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miami International Mall Dental, Pa 1455 Nw 107th Ave Ste 584 Doral FL 33172-2768 Ph: (305) 597-8787 | Miami International Mall Dental, Pa 1455 Nw 107th Ave Ste 584 Doral FL 33172-2768 Ph: (305) 597-8787 |
| NPI Number | 1528247533 |
|---|---|
| Provider Enumeration Date | 10/25/2007 |
| Last Update Date | 12/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528247533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Dental Specialists Of Doral Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10305 Sw 41 St, Doral, FL 33178 Phone: 786-355-4401 | |
American Pediatric Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7950 Nw 53rd St, Suite 200, Doral, FL 33166 Phone: 305-407-2134 | |
Dental Specialist Of Doral Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10305 Nw 41st St, 207, Doral, FL 33178 Phone: 786-355-4401 | |
South Dental Doral, Spa, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3655 Nw 107th Ave, Suite 103, Doral, FL 33178 Phone: 305-388-7599 Fax: 305-388-1315 | |
Ab Dentristy Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10750 Nw 66th St Apt 509, Doral, FL 33178 Phone: 305-807-6872 | |
K & K Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 Nw 87th Ave, Suite 29, Doral, FL 33172 Phone: 305-225-5050 Fax: 305-593-8825 | |
Loop Family, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7902 Nw 36th St, #209, Doral, FL 33166 Phone: 305-477-7655 |