Provider First Line Business Practice Location Address:
PEDIATRIC DENTAL ASSOCIATES
Provider Second Line Business Practice Location Address:
13846 SW 56 STREET
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33175
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-380-8050
Provider Business Practice Location Address Fax Number:
305-385-9122
Provider Enumeration Date:
12/05/2006