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
- City
- Key Biscayne
- 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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