Miami Dental Community PA

NPI #1417543588 in Pembroke Pines, Florida

Provider Information

NPI Number: 1417543588
Entity Type: Organization
Organization Name: Miami Dental Community PA
Primary Specialty: Dentist
Enumeration Date: Dec 14, 2020
Last Updated: Dec 14, 2020

Practice Location

Address: 12333 NW 18TH ST STE 4
City: Pembroke Pines
State: Florida
ZIP Code: 33026-4386
Phone: (786) 216-3294

Authorized Official

Name: CHRISTIAN MOLINARES
Title: ADMINISTRATOR
Phone: (786) 216-3294

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X
Dentist - Periodontics — Periodontics	1223P0300X
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X
Dentist	122300000X	Primary

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