Organization
PEDIATRIC DENTAL CENTER OF WEST KENDALL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ENRIQUE ACOSTA DDS (PRESIDENT)
(305) 456-8314
Entity
Organization
Contact information
Practice address
9075 SW 162ND AVE STE 110&112, MIAMI, FL 33196-6437
(954) 513-9277
Mailing address
9075 SW 162ND AVE STE 110&112, MIAMI, FL 33196-6437
(954) 513-9277
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/15/2021
Last updated
06/04/2024
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