Dental Group Of South Florida III INC
Dentist, General Practice in Miami Springs, FL. Organization (NPI-2).
NPI number1083966071
StatusActive
Last updated in NPPESOct 15, 2012
Details
- NPI
- 1083966071
- Entity type
- Organization (NPI-2)
- Legal business name
- Dental Group Of South Florida III INC
- Organization subpart
- No
- Enumeration date
- Oct 15, 2012
- Last updated
- Oct 15, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | Dn17638 | FL | Yes |
Practice location
101 Westward DrSuite A
Miami Springs, FL 33166-5211
Phone 305-885-1357
Mailing address
101 Westward DrSuite A
Miami Springs, FL 33166-5211
Phone 305-885-1357
Authorized official
Maria Alvarez
Owner
3058861357
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