Dental Clinic LLC
Dentist in North Miami, FL. Organization (NPI-2).
NPI number1154726230
StatusActive
Last updated in NPPESOct 31, 2014
Details
- NPI
- 1154726230
- Entity type
- Organization (NPI-2)
- Legal business name
- Dental Clinic LLC
- Organization subpart
- No
- Enumeration date
- Oct 31, 2014
- Last updated
- Oct 31, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DN20244 | FL | Yes |
Practice location
527 Ne 124th StNorth Miami, FL 33161-5423
Phone 305-895-6590 · Fax 305-895-9274
Mailing address
527 Ne 124th StNorth Miami, FL 33161-5423
Phone 305-895-6590 · Fax 305-895-9274
Authorized official
Mary Isabel Adames
Ceo
3058956590
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