Organization · NPI-2

Acostall Dental LLC

Dentist, General Practice · Hialeah, FL

NPI number1801758487
StatusActive
Last updated in NPPESDec 2, 2025

Details

NPI
1801758487
Entity type
Organization (NPI-2)
Legal business name
Acostall Dental LLC
Organization subpart
No
Enumeration date
Dec 2, 2025
Certification date
Dec 2, 2025
Last updated
Dec 2, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Practice location

1124 W 29th St
Hialeah, FL 33012-5019

Phone 305-885-7767 · Fax 305-885-7956

Mailing address

19592 Nw 82nd Pl
Hialeah, FL 33015-5992

Phone 786-870-2897

Authorized official

Blanca Acosta Hernandez
Owner
7868702897

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