Provider Demographics
NPI:1265224976
Name:MILA DENTAL CARE LLC
Entity type:Organization
Organization Name:MILA DENTAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMBR
Authorized Official - Prefix:DR
Authorized Official - First Name:MILAIDYS
Authorized Official - Middle Name:
Authorized Official - Last Name:PEDRAJA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:786-797-1280
Mailing Address - Street 1:3050 SW 122ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-2239
Mailing Address - Country:US
Mailing Address - Phone:786-797-1280
Mailing Address - Fax:
Practice Address - Street 1:11130 SW 88TH ST STE 100
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-0939
Practice Address - Country:US
Practice Address - Phone:305-598-3849
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental