Organization
PEDIATRIC DENTISTRY ONLY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA GARCIA (MANAGER)
(954) 297-0767
Entity
Organization
Contact information
Practice address
9211 SUNSET DR STE 201, MIAMI, FL 33173-3225
(305) 361-1192
Mailing address
9211 SUNSET DR, MIAMI, FL 33173-3225
(305) 361-1192
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
09/20/2021
Last updated
11/01/2021
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