Countyline Dental, Llp

NPI 1063620789 - Dentist - 1223G0001X

NPI Details
NPI 1063620789
Enumeration Date 05/18/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name IGOR IGOR
Position MEMBER
Phone (305) 654-1234
Fax (484) 348-0322
Practice Location
21457 NW 2ND AVE
MIAMI FL, 33169-2120, US
Phone (305) 654-1234
Fax (484) 348-0322
Business Location
21457 NW 2ND AVE
MIAMI FL, 33169-2120, US
Phone (305) 654-1234
Fax (484) 348-0322
Toxanomy
Taxonomy Code 1223G0001X
License State Florida
License Number DN15470
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According to our database, Countyline Dental, Llp NPI is 1063620789, taxonomy code is 1223G0001X and license number is DN15470, license state is located at Florida. Countyline Dental, Llp physically located at 21457 Nw 2nd Ave, Miami FL, 33169-2120. NPI Number 1033115704 has the healthcare provider type.

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1063620789 NPI number is provided on an as is basis without warranty of any kind. 1063620789 is maintained by the National Plan & Provider Enumeration System. The contents of Countyline Dental, Llp are for informational purposes only.