Southland Mall Dental,P.A.

LBN: Southland Mall Dental,P.A.
Southland Mall Dental,P.A. is an health care organization with primary practice located at 20505 S Dixie Hwy Ste 1683, Cutler Bay FL 33189-1229. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Southland Mall Dental,P.A. can be contacted via phone (305) 245-0308, or through Krasnov, Rostislav via phone (305) 245-0308.

Contact Information

Primary practice address
20505 S Dixie Hwy Ste 1683 Cutler Bay FL 33189-1229
Phone: (305) 245-0308
Fax: (954) 846-7170
Website:
Map and Directions
Authorized official contact:
Name: Krasnov, Rostislav Doctor of Dental Surgery (DDS)
Phone: (305) 245-0308

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1023381183
LBN Legal business name Southland Mall Dental,P.A.
DBA Doing business as
Authorized official Krasnov, Rostislav Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2012
Last updated Dec 3rd, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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