Westland Mall Dental, PA

NPI #1609012632 in Hialeah, Florida

Provider Information

NPI Number
1609012632
Entity Type
Organization
Organization Name
Westland Mall Dental, PA
Primary Specialty
Dentist - General Practice
Enumeration Date
Dec 22, 2008
Last Updated
Dec 3, 2018

Practice Location

Address
1665 W 49TH ST STE 1484
State
Florida
ZIP Code
33012-2957
Phone
(305) 828-7779

Authorized Official

Name
ROSTISLAV KRASNOV, DDS
Title
OWNER
Phone
(305) 828-7779

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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