Organization
CHILDRENS DENTISTRY OF AMERICA HOMESTEAD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GISLEDA A RAMOS DDS,MS (OWNER)
(772) 485-9759
Entity
Organization
Contact information
Practice address
311 NE 8TH ST, HOMESTEAD, FL 33030-4738
(954) 775-0723
(754) 241-0242
Mailing address
311 NE 8TH ST, HOMESTEAD, FL 33030-4738
(954) 775-0723
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101344800
—
FL
Enumeration date
12/19/2022
Last updated
12/28/2022
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