Organization
PRIME PEDIATRIC DENTAL GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE I DELGADO PHD (ADVISOR)
(904) 806-7080
Entity
Organization
Contact information
Practice address
9156 WILES RD, CORAL SPRINGS, FL 33067-1999
(954) 621-2115
Mailing address
13195 BISCAYNE BAY DR, NORTH MIAMI, FL 33181-2204
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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