| Wisdom Tooth Clinical Services Pa | |
|
100 Nw 170th St Ste 306 North Miami Beach FL 33169-5511 | |
| (305) 432-6719 | |
| Not Available |
| Full Name | Wisdom Tooth Clinical Services Pa |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 100 Nw 170th St Ste 306, North Miami Beach, Florida |
| Authorized Official Name and Position | Peter Cudjoe (OPERATOR) |
| Authorized Official Contact | 3054326719 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisdom Tooth Clinical Services Pa 304 Indian Trce Ste 905 Weston FL 33326-2996 Ph: (305) 432-6719 | Wisdom Tooth Clinical Services Pa 100 Nw 170th St Ste 306 North Miami Beach FL 33169-5511 Ph: (305) 432-6719 |
| NPI Number | 1942127428 |
|---|---|
| Provider Enumeration Date | 07/03/2026 |
| Last Update Date | 07/03/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942127428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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