Veritas Dental Pa

NPI 1831417005 - Dentist - 122300000X

NPI Details
NPI 1831417005
Enumeration Date 05/12/2010
Last Updated 05/12/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name IVAN IVAN
Position PRESIDENT
Phone (305) 393-8121
Fax (786) 431-5421
Practice Location
2475 E 5TH AVE
HIALEAH FL, 33013-3917, US
Phone (305) 393-8121
Fax (786) 431-5421
Business Location
12715 AVIANO DR
NAPLES FL, 34105-4932, US
Phone (917) 796-7624
Fax
Toxanomy
Taxonomy Code 122300000X
License State Florida
License Number DN17477
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According to our database, Veritas Dental Pa NPI is 1831417005, taxonomy code is 122300000X and license number is DN17477, license state is located at Florida. Veritas Dental Pa physically located at 2475 E 5th Ave, Hialeah FL, 33013-3917. NPI Number 1033115704 has the healthcare provider type.

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1831417005 NPI number is provided on an as is basis without warranty of any kind. 1831417005 is maintained by the National Plan & Provider Enumeration System. The contents of Veritas Dental Pa are for informational purposes only.