| Evolution Orthodontics & Pediatrics | |
|
7875 Sw 104th St Ste 100 Miami FL 33156-2642 | |
| (646) 305-7086 | |
| Not Available |
| Full Name | Evolution Orthodontics & Pediatrics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 7875 Sw 104th St Ste 100, Miami, Florida |
| Authorized Official Name and Position | Ruben D Viloria (DOCTOR) |
| Authorized Official Contact | 3058590539 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolution Orthodontics & Pediatrics 1480 Nw North River Dr # E2305 Miami FL 33125-2867 Ph: (305) 859-0539 | Evolution Orthodontics & Pediatrics 7875 Sw 104th St Ste 100 Miami FL 33156-2642 Ph: (646) 305-7086 |
| NPI Number | 1043095086 |
|---|---|
| Provider Enumeration Date | 08/28/2023 |
| Last Update Date | 11/30/2023 |
| Certification Date | 11/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043095086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (NU) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (NU) | Primary |
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