Organization
DENTAL SOLUTION OF KENDALL, LLC
Active
Other names
Pediatric Dentistry of Kendall
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN DIEGO CARDENAS DDS (DENTIST OWNER)
(305) 271-1151
Entity
Organization
Contact information
Practice address
11790 SW 89TH ST, MIAMI, FL 33186-2165
(305) 271-1151
Mailing address
11790 SW 89TH ST, MIAMI, FL 33186-2165
(305) 271-1151
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12829
FL
1223P0221X
Pediatric Dentistry
Primary
181138
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740338201
NPI
FL
Enumeration date
04/09/2012
Last updated
04/09/2012
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