Southland Mall Dental,p.a. | |
20505 S Dixie Hwy Ste 1683 Cutler Bay FL 33189-1229 | |
(305) 245-0308 | |
(954) 846-7170 |
Full Name | Southland Mall Dental,p.a. |
---|---|
Speciality | Dentist |
Location | 20505 S Dixie Hwy, Cutler Bay, Florida |
Authorized Official Name and Position | Rostislav Krasnov (OWNER) |
Authorized Official Contact | 3052450308 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Southland Mall Dental,p.a. 20505 S Dixie Hwy Ste 1683 Cutler Bay FL 33189-1229 Ph: (305) 245-0308 | Southland Mall Dental,p.a. 20505 S Dixie Hwy Ste 1683 Cutler Bay FL 33189-1229 Ph: (305) 245-0308 |
NPI Number | 1023381183 |
---|---|
Provider Enumeration Date | 02/20/2012 |
Last Update Date | 12/03/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023381183 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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