Organization
PRIME PEDIATRIC DENTAL GROUP PA
Active
Parent organization
PRIME PEDIATRIC DENTAL GROUP PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIME PEDIATRIC DENTAL GROUP PA
Authorized official
DR. JOSE I DELGADO (ADVISOR)
(904) 806-7080
Entity
Organization
Contact information
Practice address
10717 NW 58TH ST, DORAL, FL 33178-2801
(305) 513-4058
Mailing address
10717 NW 58TH ST, DORAL, FL 33178-2801
(305) 513-4058
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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