Coral Gables Dentistry And Prosthodontics, PA
Dentist, Prosthodontics in Coral Gables, FL. Organization (NPI-2).
NPI number1760147441
StatusActive
Last updated in NPPESNov 19, 2021
Details
- NPI
- 1760147441
- Entity type
- Organization (NPI-2)
- Legal business name
- Coral Gables Dentistry And Prosthodontics, PA
- Organization subpart
- No
- Enumeration date
- Nov 8, 2021
- Certification date
- Nov 19, 2021
- Last updated
- Nov 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0700X | Dentist, Prosthodontics | – | – | Yes |
| 261QD0000X | Clinic/Center, Dental | – | – |
Other names
- Coral Gables Dentistry And Prosthodontics (Doing Business As)
Practice location
3326 Ponce De Leon BlvdCoral Gables, FL 33134-7211
Phone 305-567-1992
Mailing address
3326 Ponce De Leon BlvdCoral Gables, FL 33134-7211
Phone 305-567-1992
Authorized official
Cristina Osorio
Owner Operator
3055671992
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