Countyline Dental, LLP

NPI #1063620789 in Miami, Florida

Provider Information

NPI Number
1063620789
Entity Type
Organization
Organization Name
Countyline Dental, LLP
Primary Specialty
Dentist - General Practice
Enumeration Date
May 18, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
21457 NW 2ND AVE
City
Miami
State
Florida
ZIP Code
33169-2120
Phone
(305) 654-1234

Authorized Official

Name
DR. IGOR PASISNITCHENKO
Title
MEMBER
Phone
(305) 654-1234

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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