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Organization
PALM DENTAL CENTER, PA
Active
Organization
PALM DENTAL CENTER, PA
Active
Other names
Palm Center for Dental Specialties
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE GOMEZ (PROVIDER RELATIONS)
(305) 274-2499
Entity
Organization
Contact information
Practice address
7150 W 20 AVE, SUITE 102, HIALEAH, FL 33016
(305) 556-3313
Mailing address
13195 SW 134 ST, 2ND FLOOR, MIAMI, FL 33186
(305) 274-2499
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
08/17/2006
Last updated
08/21/2014
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