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Organization
MIAMI DENTAL COMMUNITY PA
Active
Organization
MIAMI DENTAL COMMUNITY PA
Active
Other names
Miami Dental Community PA
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN MOLINARES (ADMINISTRATOR)
(786) 216-3294
Entity
Organization
Contact information
Practice address
12333 NW 18TH ST STE 4, PEMBROKE PINES, FL 33026-4386
(786) 216-3294
Mailing address
12333 NW 18TH ST STE 4, PEMBROKE PINES, FL 33026-4386
(786) 216-3294
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223E0200X
Endodontics
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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