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Organization
TAIDY COSTOYA DMD PLLC
Active
Organization
TAIDY COSTOYA DMD PLLC
Active
Other names
Pinecrest Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAIDY COSTOYA DMD (MANAGING MEMBER/ OWNER)
(305) 235-0020
Entity
Organization
Contact information
Practice address
8181 SW 117TH ST, PINECREST, FL 33156-4448
(305) 235-0020
(305) 971-7670
Mailing address
8181 SW 117TH ST, PINECREST, FL 33156-4448
(305) 235-0020
(305) 971-7670
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN17603
FL
Other
Enumeration date
09/30/2015
Last updated
05/24/2024
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