Organization
PEDIATRIC DENTAL CENTER OF LIBERTY CITY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENRIQUE ACOSTA DDS (PRESIDENT)
(786) 368-6212
Entity
Organization
Contact information
Practice address
8400 NW 27TH AVE STE 101, MIAMI, FL 33147-4167
(305) 456-2680
Mailing address
8400 NW 27TH AVE STE 101, MIAMI, FL 33147-4167
(305) 456-2680
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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