MEDICARE: DR. ANGELIKA KOEBERNIK PEDROSO D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DN-14702	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922297225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANGELIKA KOEBERNIK PEDROSO D.D.S.

Provider Business Mailing Address
First Line	:	460 ARTHUR GODFREY RD
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3504
Country	:	US
Telephone Number	:	305-674-0656
Fax Number	:	305-674-0714

Provider Business Practice Location Address
First Line	:	460 ARTHUR GODFREY RD
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3504
Country	:	US
Telephone Number	:	305-674-0656
Fax Number	:	305-674-0714

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2007
Last Update Date	:	10/23/2007

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