Dental Clinic Llc

NPI 1154726230 - Dentist - 122300000X

NPI Details
NPI 1154726230
Enumeration Date 10/31/2014
Last Updated 10/31/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name MARY ISABEL MARY
Position CEO
Phone (305) 895-6590
Fax (305) 895-9274
Practice Location
527 NE 124TH ST
NORTH MIAMI FL, 33161-5423, US
Phone (305) 895-6590
Fax (305) 895-9274
Business Location
527 NE 124TH ST
NORTH MIAMI FL, 33161-5423, US
Phone (305) 895-6590
Fax (305) 895-9274
Toxanomy
Taxonomy Code 122300000X
License State Florida
License Number DN20244
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According to our database, Dental Clinic Llc NPI is 1154726230, taxonomy code is 122300000X and license number is DN20244, license state is located at Florida. Dental Clinic Llc physically located at 527 Ne 124th St, North Miami FL, 33161-5423. NPI Number 1033115704 has the healthcare provider type.

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1154726230 NPI number is provided on an as is basis without warranty of any kind. 1154726230 is maintained by the National Plan & Provider Enumeration System. The contents of Dental Clinic Llc are for informational purposes only.