Organization
LITTLE STARS DENTISTRY OF MIAMI SHORES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YANAY HERNANDEZ (PRACTICE MANAGER)
(305) 773-5316
Entity
Organization
Contact information
Practice address
660 NE 95TH ST STE 9, MIAMI SHORES, FL 33138-2758
(305) 754-5081
Mailing address
660 NE 95TH ST STE 9, MIAMI SHORES, FL 33138-2758
(305) 754-5081
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
DN14474
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN13832
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071356200
—
FL
Enumeration date
08/03/2017
Last updated
07/21/2022
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