Prosthodontic Dentistry of S Fl
NPI #1609171339 in Coconut Grove, Florida
Provider Information
- NPI Number
- 1609171339
- Entity Type
- Organization
- Organization Name
- Prosthodontic Dentistry of S Fl
- Primary Specialty
- Dentist - Prosthodontics
- Enumeration Date
- Jan 11, 2011
- Last Updated
- Apr 24, 2012
Practice Location
- Address
- 2601 S BAYSHORE DR
- Address 2
- SUITE 760
- City
- Coconut Grove
- State
- Florida
- ZIP Code
- 33133-5417
- Phone
- (305) 857-0990
Authorized Official
- Name
- MRS. IVONNE FAINE
- Title
- OFFICE MANAGER
- Phone
- (305) 857-0990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Prosthodontics — Prosthodontics |
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