Aesthetic Dentistry Of South Miami
Dentist, General Practice in South Miami, FL. Organization (NPI-2).
NPI number1871990069
StatusActive
Last updated in NPPESJan 14, 2015
Details
- NPI
- 1871990069
- Entity type
- Organization (NPI-2)
- Legal business name
- Aesthetic Dentistry Of South Miami
- Organization subpart
- No
- Enumeration date
- Dec 3, 2014
- Last updated
- Jan 14, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DN9599 | FL | Yes |
Other names
- Miami Lakes Dental Health Center (Other Name)
Practice location
7600 Sw 57th AveSuite 116
South Miami, FL 33143-5428
Phone 305-667-7543
Mailing address
7600 Sw 57th AveSuite 116
South Miami, FL 33143-5428
Phone 305-667-7543
Authorized official
Juan Carlos Erro
President
3056677543
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