Organization
MICROENDODONTICS SPECIALTY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE RAMOS (MANAGER)
(954) 374-9215
Entity
Organization
Contact information
Practice address
302 NW 179TH AVE STE 201, PEMBROKE PINES, FL 33029-2818
(954) 374-9215
Mailing address
302 NW 179TH AVE STE 201, PEMBROKE PINES, FL 33029-2818
(954) 374-9215
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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