Pines Dental Village Corp.
NPI #1205706074 in Pembroke Pines, Florida
Provider Information
- NPI Number
- 1205706074
- Entity Type
- Organization
- Organization Name
- Pines Dental Village Corp.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 7, 2025
- Last Updated
- Nov 7, 2025
Practice Location
- Address
- 12558 PINES BLVD
- City
- Pembroke Pines
- State
- Florida
- ZIP Code
- 33027-1713
- Phone
- (954) 639-6998
Authorized Official
- Name
- MR. LIVEISYS PEDRAZA, DDS
- Title
- OWNER
- Phone
- (786) 337-1013
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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