West Pines Modern Dentistry, PA

NPI #1134654064 in Pembroke Pines, Florida

Provider Information

NPI Number: 1134654064
Entity Type: Organization
Organization Name: West Pines Modern Dentistry, PA
Primary Specialty: Dentist
Enumeration Date: Apr 28, 2017
Last Updated: Apr 28, 2017

Practice Location

Address: 18312 PINES BLVD
City: Pembroke Pines
State: Florida
ZIP Code: 33029-1412
Phone: (786) 204-0713

Authorized Official

Name: KATIE MCCANN
Title: OWNER
Phone: (786) 204-0713

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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