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NPI Code Detail

MEDICARE: DB DENTAL CARE PA

MEDICARE: DB DENTAL CARE PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD0000XDental Clinic/Center

General Provider Information

NPI Number : 1255082947
Entity Type Code : Organization
Provider Name (Legal Business Name) : DB DENTAL CARE PA
Provider Business Mailing Address
First Line : 11395 SW 40TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33165-4420
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11395 SW 40TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33165-4420
Country : US
Telephone Number : 786-418-6757
Fax Number :
Authorized Official
Title or Position : DENTIST
Name : DIANE BRAVO
Credential :
Telephone Number : 786-418-6757
Provider Enumeration Date : 01/13/2022
Last Update Date : 05/28/2024

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Directions to “DB DENTAL CARE PA ” Practice Location

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