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Angie La Concha

Student in an Organized Health Care Education/Training Program in Hialeah, FL. Individual provider (NPI-1).

NPI number1235087362
StatusActive
Last updated in NPPESSep 11, 2026

Details

NPI
1235087362
Entity type
Individual (NPI-1)
Name
Ms. Angie La Concha
Sex
Female
Sole proprietor
No
Enumeration date
Mar 16, 2026
Certification date
Sep 11, 2026
Last updated
Sep 11, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training ProgramDRPM3010FLYes
1223G0001X Dentist, General Practice3010FL

Practice location

750 E 25th St
Hialeah, FL 33013-3817

Phone 305-694-5400

Mailing address

17945 Sw 97th Ave Apt 416
Palmetto Bay, FL 33157-5452

Phone 954-531-7278

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