| The Family Dental Care Center | |
|
646 W Palm Dr Homestead FL 33034-3208 | |
| (305) 242-1200 | |
| (305) 242-8782 |
| Full Name | The Family Dental Care Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 646 W Palm Dr, Homestead, Florida |
| Authorized Official Name and Position | Alejandro De La Cruz (PRESIDENT) |
| Authorized Official Contact | 3052421200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Family Dental Care Center 646 W Palm Dr 202 Homestead FL 33034-3208 Ph: (305) 242-1200 | The Family Dental Care Center 646 W Palm Dr Homestead FL 33034-3208 Ph: (305) 242-1200 |
| NPI Number | 1184861981 |
|---|---|
| Provider Enumeration Date | 01/15/2009 |
| Last Update Date | 04/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184861981 | NPI | - | NPPES |
| 070376101 | Medicaid | FL | |
| 0755532 00 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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