ILLUSTRADENT KEY BISCAYNE PLLC
Dentist at Crandon Blvd, Miami, FL

License number
Florida DN18909
Category
Dentist
Type
Dentist
Owner
Name: DR. MARA PILAVSKY DDS
Title: MANAGING MEMBER
Phone: (305) 361-5493
Address
Address 2
240 Crandon Blvd SUITE 104, Miami, FL 33149
236 Woodlands Rd, Harrison, NY 10528
National Provider ID: 1114305018
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ILLUSTRADENT KEY BISCAYNE PLLC

240 Crandon Blvd SUITE 104, Key Biscayne, FL 33149

Registration:
Dec 29, 2014
State ID:
L14000195830
Business type:
Florida Limited Liability Company
S:
Dds Hernandez, 240 Crandon Blvd SUITE 104, Key Biscayne, FL 33149 (Physical),Rosenberg-Palavsky, Mara, Dds, 236 Woodlands Rd, Harrison, NY 10528 (Physical)
Agent:
Hernandez, Nilo A, Jr,240 Crandon Blvd SUITE 104, Key Biscayne, FL 33149 (Physical)
FEI/EIN:
47-2612083

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