Organization · NPI-2

Belllo-Burgos, D.M.D. , P.A.

Dentist · Doral, FL

NPI number1902935570
StatusActive
Last updated in NPPESApr 15, 2009

Details

NPI
1902935570
Entity type
Organization (NPI-2)
Legal business name
Belllo-Burgos, D.M.D. , P.A.
Organization subpart
No
Enumeration date
Mar 2, 2007
Last updated
Apr 15, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistDN15625FLYes

Other names

  • Doral Park Dental Center (Doing Business As)

Practice location

9757 Nw 41st St
Doral, FL 33178-2381

Phone 305-477-5299 · Fax 305-477-5219

Mailing address

12095 Nw 5th St
Doral, FL 33182-1343

Phone 395-477-5299 · Fax 305-477-5219

Authorized official

Teresa J. Bello-Burgos
President
3054775299

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