Healthcare Provider Details

I. General information

NPI: 1750911368
Provider Name (Legal Business Name): MH FIGUEREDO DMD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2020
Last Update Date: 01/22/2020
Certification Date: 01/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9016 NW 25TH ST
DORAL FL
33172-1501
US

IV. Provider business mailing address

9016 NW 25TH ST
DORAL FL
33172-1501
US

V. Phone/Fax

Practice location:
  • Phone: 786-671-0174
  • Fax: 305-828-1306
Mailing address:
  • Phone: 786-671-0174
  • Fax: 305-828-1306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MARIA H FIGUEREDO
Title or Position: PRESIDENT
Credential: DMD
Phone: 786-671-0174