# MICROENDODONTICS SPECIALTY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205516473
- **Authorized official:** JEANETTE RAMOS (MANAGER)
- **Authorized official phone:** (954) 374-9215

## Contact information

- **Practice address:** 302 NW 179TH AVE STE 201, PEMBROKE PINES, FL 33029-2818
- **Practice address phone:** (954) 374-9215
- **Mailing address:** 302 NW 179TH AVE STE 201, PEMBROKE PINES, FL 33029-2818
- **Mailing address phone:** (954) 374-9215

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | NULL | Yes |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 07/21/2023
- **Last updated:** 07/21/2023