Organization
FLORIDIAN DENTAL AT PALMETTO BAY, LLC
Active
Other names
Floridian Dental at Palmetto Bay
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH HEREDIA (OFFICE MANAGER)
(305) 255-4140
Entity
Organization
Contact information
Practice address
15801 S DIXIE HWY, SUITE B, PALMETTO BAY, FL 33157-1837
(305) 255-4140
(305) 252-8323
Mailing address
15801 S DIXIE HWY, SUITE B, PALMETTO BAY, FL 33157-1837
(305) 255-4140
(305) 252-8323
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN19253
FL
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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