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Organization
PINES DENTAL ASSOCIATES INC
Active
Organization
PINES DENTAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILTON JAIME RUIZ DMD (PRESIDENT)
(954) 432-6133
Entity
Organization
Contact information
Practice address
1541 N PALM AVE, PEMBROKE PINES, FL 33026-3229
(954) 432-6133
(954) 432-8989
Mailing address
1541 N PALM AVE, PEMBROKE PINES, FL 33026-3229
(954) 432-6133
(954) 432-8989
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
12/19/2008
Last updated
10/16/2023
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