Organization
PEDIATRIC DENTAL CENTER OF HOMESTEAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENRIQUE ACOSTA (PEDIATRIC DENTIST/OWNER)
(786) 368-6212
Entity
Organization
Contact information
Practice address
925 NE 30TH TER, SUITE 302, HOMESTEAD, FL 33033-7613
(305) 246-3800
(305) 246-9800
Mailing address
925 NE 30TH TER, SUITE 302, HOMESTEAD, FL 33033-7613
(305) 246-3800
(305) 246-9800
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN17284
FL
Other
Enumeration date
02/28/2013
Last updated
02/28/2013
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