# AMBIANCE SURGICAL ARTS CENTER

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

## Provider details

- **NPI number:** 1437703535
- **Authorized official:** JERRI D HINES DDS (OWNER)
- **Authorized official phone:** (786) 377-4344

## Contact information

- **Practice address:** 8501 SW 124TH AVE STE 208, MIAMI, FL 33183-4633
- **Practice address phone:** (786) 377-4344
- **Practice address fax:** (786) 377-4364
- **Mailing address:** 8501 SW 124TH AVE STE 208, MIAMI, FL 33183-4633
- **Mailing address phone:** (786) 377-4344
- **Mailing address fax:** (786) 377-4364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 07/26/2019
- **Last updated:** 07/26/2019