COUNTYLINE DENTAL LLP NPI 1063620789

NPI Information

COUNTYLINE DENTAL, LLP is a general practice dentist in Miami, FL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. COUNTYLINE DENTAL, LLP NPI is 1063620789. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Family Dentistry Of Florida, Countyline.

The provider's business location address is:

21457 NW 2ND AVE
MIAMI, FL
ZIP 33169-120
Phone: (305) 654-1234
Fax: (484) 348-0322

The provider's authorized official is Igor Pasisnitchenko .
The authorized official title is Member and has the following contact phone number (305) 654-1234.

The enumeration date for this NPI number is 5/18/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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