Universal Dental Group
Dentist, General Practice in Hialeah, FL. Organization (NPI-2).
NPI number1265709554
StatusActive
Last updated in NPPESNov 30, 2011
Details
- NPI
- 1265709554
- Entity type
- Organization (NPI-2)
- Legal business name
- Universal Dental Group
- Organization subpart
- No
- Enumeration date
- Nov 30, 2011
- Last updated
- Nov 30, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DN13222 | FL | Yes |
Practice location
1935 West 60 StreetHialeah, FL 33012
Phone 305-821-3344 · Fax 305-821-3311
Mailing address
1935 W 60th StHialeah, FL 33012-7504
Phone 305-821-3344 · Fax 305-821-3311
Authorized official
Juan Gonzalez
President
3059031161
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