Organization · NPI-2

Advance And General Dental

Dentist, General Practice · Hialeah, FL

NPI number1548922966
StatusActive
Last updated in NPPESOct 13, 2021

Details

NPI
1548922966
Entity type
Organization (NPI-2)
Legal business name
Advance And General Dental
Organization subpart
No
Enumeration date
Oct 13, 2021
Certification date
Oct 13, 2021
Last updated
Oct 13, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Practice location

820 East 41st
Suite #202
Hialeah, FL 33013

Phone 305-836-3635 · Fax 305-836-3670

Mailing address

820 East 41st
Suite #202
Hialeah, FL 33013

Phone 305-836-3635 · Fax 305-836-3670

Authorized official

Aymara Fernandez
Office Manager
3058363635

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