Miramar Modern Dentistry, PA

NPI #1821667684 in Miramar, Florida

Provider Information

NPI Number
1821667684
Entity Type
Organization
Organization Name
Miramar Modern Dentistry, PA
Primary Specialty
Dentist - General Practice
Enumeration Date
Jun 24, 2021
Last Updated
Jun 25, 2021

Practice Location

Address
12621 MIRAMAR PKWY BAY 102
State
Florida
ZIP Code
33027-2910
Phone
(954) 621-1496

Authorized Official

Name
MINH PHAM, DDS
Title
OWNER
Phone
(954) 621-1496

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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