Avadentmiami PA
Dentist, General Practice in North Miami Beach, FL. Organization (NPI-2).
NPI number1528858206
StatusActive
Last updated in NPPESMay 7, 2025
Details
- NPI
- 1528858206
- Entity type
- Organization (NPI-2)
- Legal business name
- Avadentmiami PA
- Organization subpart
- No
- Enumeration date
- May 7, 2025
- Certification date
- May 7, 2025
- Last updated
- May 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
3765 Ne 163rd StNorth Miami Beach, FL 33160-4104
Phone 305-600-5454 · Fax 305-949-3449
Mailing address
3765 Ne 163rd StNorth Miami Beach, FL 33160-4104
Phone 305-600-5454 · Fax 305-949-3449
Authorized official
Nataliya Bubniv
Managing Member
3056005454
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