Organization · Type 2 NPI
MGM Dental PA
Dental Clinic/Center · Miami, FL
NPI number
1396043576
Active
Practice location
15659 SW 88th St
Miami, FL 33196
Fax (786) 558-7318
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | None listed |
| Dental Clinic/Center Primary | 261QD0000X | DN20484 (FL) |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1396043576
MGM Dental PA's National Provider Identifier is 1396043576, issued on Mar 11, 2011. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Miami, FL. The record was last updated on Jul 2, 2018.