Organization
MIAMI DENTAL GROUP WEST KENDALL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY PENA DMD (OWNER/DENTIST)
(305) 271-0160
Entity
Organization
Contact information
Practice address
2648 SW 137TH AVE, MIAMI, FL 33175-6314
(305) 551-1309
(305) 551-1303
Mailing address
7755 SW 87TH AVE STE 120, MIAMI, FL 33173-2534
(305) 271-0160
(305) 271-4111
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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