| Pinecrest Dental | |
|
8950 Sw 74th Ct Ste 1212 Miami FL 33156-3170 | |
| (305) 670-8088 | |
| Not Available |
| Full Name | Pinecrest Dental |
|---|---|
| Speciality | Dentist |
| Location | 8950 Sw 74th Ct Ste 1212, Miami, Florida |
| Authorized Official Name and Position | Jesse Mayoral (ADMINISTRATOR) |
| Authorized Official Contact | 3056708088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinecrest Dental 8950 Sw 74th Ct Ste 1212 Miami FL 33156-3170 Ph: (305) 670-8088 | Pinecrest Dental 8950 Sw 74th Ct Ste 1212 Miami FL 33156-3170 Ph: (305) 670-8088 |
| NPI Number | 1346847134 |
|---|---|
| Provider Enumeration Date | 10/05/2020 |
| Last Update Date | 10/08/2020 |
| Certification Date | 10/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346847134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (NU) | Primary |
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