4 Kids Dental LLC
Dentist, General Practice in Hialeah, FL. Organization (NPI-2).
NPI number1437873957
StatusActive
Last updated in NPPESSep 28, 2022
Details
- NPI
- 1437873957
- Entity type
- Organization (NPI-2)
- Legal business name
- 4 Kids Dental LLC
- Organization subpart
- No
- Enumeration date
- Sep 28, 2022
- Certification date
- Sep 28, 2022
- Last updated
- Sep 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
| 1223P0221X | Dentist, Pediatric Dentistry | – | – | |
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | – | – |
Practice location
1096 W 49th StHialeah, FL 33012-3322
Phone 954-394-0658
Mailing address
8020 Los Pinos BlvdCoral Gables, FL 33143-6455
Phone 954-394-0658
Authorized official
Muriel Iwanowski
Managing Partner
9543940658
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