MIAMI INTERNATIONAL MALL DENTAL, PA is a general practice dentist in Doral, 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. MIAMI INTERNATIONAL MALL DENTAL, PA NPI is 1528247533. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
1455 NW 107TH AVE STE 584
DORAL, FL
ZIP 33172-768
Phone: (305) 597-8787
Fax: (305) 597-8617
The provider's authorized official is Rostislav Krasnov .
The authorized official title is Owner and has the following contact phone number (305) 597-8787.
The enumeration date for this NPI number is 10/25/2007 and was last updated on 12/3/2018.