Organization
PEDIATRIC DENTAL CENTER OF GARDENS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ENRIQUE ACOSTA DDS (PRESIDENT)
(305) 454-0911
Entity
Organization
Contact information
Practice address
18244 NW 27TH AVE, MIAMI GARDENS, FL 33056-3501
(305) 456-2680
Mailing address
2645 S DOUGLAS RD STE 703, MIAMI, FL 33133-2745
(954) 513-9277
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/27/2020
Last updated
06/04/2024
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