Organization
PINES PEDIATRIC DENTISTRY AND ORTHODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL MILLER DDS (OWNER)
(561) 336-6560
Entity
Organization
Contact information
Practice address
17767 SW 2ND ST, PEMBROKE PINES, FL 33029-3924
(561) 336-6560
(561) 336-6560
Mailing address
17767 SW 2ND ST, PEMBROKE PINES, FL 33029-3924
(561) 336-6560
(561) 336-6560
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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