| Servident Miami PA | |
|
3850 Sw 87th Ave Ste 204 Miami FL 33165-5473 | |
| (786) 784-4056 | |
| Not Available |
| Full Name | Servident Miami PA |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3850 Sw 87th Ave Ste 204, Miami, Florida |
| Authorized Official Name and Position | Maylan M Rodriguez Orraca (PRESIDENT) |
| Authorized Official Contact | 7864867172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Servident Miami PA 9417 Sw 76th St Apt X11 Miami FL 33173-5444 Ph: (786) 486-7172 | Servident Miami PA 3850 Sw 87th Ave Ste 204 Miami FL 33165-5473 Ph: (786) 784-4056 |
| NPI Number | 1528739448 |
|---|---|
| Provider Enumeration Date | 09/21/2021 |
| Last Update Date | 09/21/2021 |
| Certification Date | 09/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528739448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
| 1223G0001X | Dentist - General Practice | () | Secondary |
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