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Organization
WISDOM TOOTH CLINICAL SERVICES PA
Active
Organization
WISDOM TOOTH CLINICAL SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER CUDJOE DDS (OPERATOR)
(305) 432-6719
Entity
Organization
Contact information
Practice address
100 NW 170TH ST STE 306, NORTH MIAMI BEACH, FL 33169-5511
(305) 432-6719
Mailing address
304 INDIAN TRCE STE 905, WESTON, FL 33326-2996
(305) 432-6719
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
07/03/2026
Last updated
07/03/2026
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