| Southeastern Dental Associates V, Pa | |
|
1160 Kane Concourse Suite # 203 Bal Harbour FL 33154 | |
| (305) 866-7127 | |
| Not Available |
| Full Name | Southeastern Dental Associates V, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1160 Kane Concourse, Bal Harbour, Florida |
| Authorized Official Name and Position | Kenneth D Rubinstein (OWNER) |
| Authorized Official Contact | 3058667127 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Dental Associates V, Pa 1160 Kane Concourse Suite # 203 Bal Harbour FL 33154 Ph: (305) 866-7127 | Southeastern Dental Associates V, Pa 1160 Kane Concourse Suite # 203 Bal Harbour FL 33154 Ph: (305) 866-7127 |
| NPI Number | 1295977585 |
|---|---|
| Provider Enumeration Date | 04/01/2009 |
| Last Update Date | 04/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295977585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN0002214 (Florida) | Primary |
Edward A. Krukowski, Dmd, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9801 Collins Ave, #c-102, Bal Harbour, FL 33154 Phone: 305-866-6662 Fax: 305-866-1144 |