The Family Dental Care Center
Dentist, General Practice in Homestead, FL. Organization (NPI-2).
NPI number1184861981
StatusActive
Last updated in NPPESApr 14, 2015
Details
- NPI
- 1184861981
- Entity type
- Organization (NPI-2)
- Legal business name
- The Family Dental Care Center
- Organization subpart
- No
- Enumeration date
- Jan 15, 2009
- Last updated
- Apr 14, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- The Family Dental Care Center (Former Legal Business Name)
Practice location
646 W Palm DrHomestead, FL 33034-3208
Phone 305-242-1200 · Fax 305-242-8782
Mailing address
646 W Palm Dr202
Homestead, FL 33034-3208
Phone 305-242-1200 · Fax 305-242-8782
Authorized official
Alejandro De La Cruz
President
3052421200
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