Organization
PEDIATRIC DENTAL CENTER OF PALMETTO BAY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ENRIQUE ACOSTA DDS (PRESIDENT)
(786) 732-0802
Entity
Organization
Contact information
Practice address
17037 S DIXIE HWY, PALMETTO BAY, FL 33157-4362
(786) 368-6212
Mailing address
17037 S DIXIE HWY, PALMETTO BAY, FL 33157-4362
(786) 368-6212
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/15/2021
Last updated
06/04/2024
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