South Miami Dental Service PA

NPI #1104274471 in Key Biscayne, Florida

Provider Information

NPI Number
1104274471
Entity Type
Organization
Organization Name
South Miami Dental Service PA
Primary Specialty
Health Maintenance Organization
Enumeration Date
May 27, 2016
Last Updated
May 27, 2016

Practice Location

Address
240 CRANDON BLVD
Address 2
SUITE 104
State
Florida
ZIP Code
33149
Phone
(305) 361-0351

Authorized Official

Name
MAYRA V PEREZ
Title
ADMNISTRATOR
Phone
(305) 361-5493

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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