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NPI Code Detail

MEDICARE: SAMAR DENTAL, INC

MEDICARE: SAMAR DENTAL, INC
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
11223G0001XGeneral Practice DentistryDN17493FL

General Provider Information

NPI Number : 1306978234
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAMAR DENTAL, INC
Provider Business Mailing Address
First Line : 9860 NW 49TH TER
Second Line :
City : DORAL
State : FL
Zip : 33178-1921
Country : US
Telephone Number : 305-885-5390
Fax Number :
Provider Business Practice Location Address
First Line : 747 E 9TH ST
Second Line : SUITE A
City : HIALEAH
State : FL
Zip : 33010-4553
Country : US
Telephone Number : 305-885-5390
Fax Number :
Authorized Official
Title or Position : GENERAL DENTIST
Name : DR. ANGELA MARIA OSPINA
Credential :
Telephone Number : 305-885-5390
Provider Enumeration Date : 03/09/2007
Last Update Date : 08/22/2020

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Directions to “SAMAR DENTAL, INC ” Practice Location

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