Illustradent Key Biscayne Pllc
NPI #1114305018 in Key Biscayne, Florida
Provider Information
- NPI Number
- 1114305018
- Entity Type
- Organization
- Organization Name
- Illustradent Key Biscayne Pllc
- Primary Specialty
- Dentist
- Enumeration Date
- May 11, 2015
- Last Updated
- Dec 22, 2015
Practice Location
- Address
- 240 CRANDON BLVD
- Address 2
- SUITE 104
- City
- Key Biscayne
- State
- Florida
- ZIP Code
- 33149-1543
- Phone
- (305) 361-5493
Authorized Official
- Name
- DR. MARA PILAVSKY, DDS
- Title
- MANAGING MEMBER
- Phone
- (305) 361-5493
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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