Organization
4 KIDS DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MURIEL IWANOWSKI DMD (MANAGING PARTNER)
(954) 394-0658
Entity
Organization
Contact information
Practice address
1096 W 49TH ST, HIALEAH, FL 33012-3322
(954) 394-0658
Mailing address
8020 LOS PINOS BLVD, CORAL GABLES, FL 33143-6455
(954) 394-0658
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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