Organization · NPI-2

Biscayne Dental Center

Dentist, General Practice · North Miami Beach, FL

NPI number1629357694
StatusActive
Last updated in NPPESAug 9, 2011

Details

NPI
1629357694
Entity type
Organization (NPI-2)
Legal business name
Biscayne Dental Center
Organization subpart
No
Enumeration date
Aug 9, 2011
Last updated
Aug 9, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeDN16637FLYes

Other names

  • Biscayne Dental Center (Former Legal Business Name)

Practice location

14771 Biscayne Blvd.
North Miami Beach, FL 33181

Phone 305-945-7745 · Fax 305-945-7740

Mailing address

14771 Biscayne Blvd.
North Miami Beach, FL 33181

Phone 305-945-7745 · Fax 305-945-7740

Authorized official

Mario Iraheta
Dentist
3059457745

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