Healthcare Provider Details

I. General information

NPI: 1023221330
Provider Name (Legal Business Name): MARIA DOLORES ESCOTO DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2895 COLLINS AVE
MIAMI FL
33140-4407
US

IV. Provider business mailing address

2895 COLLINS AVE
MIAMI BEACH FL
33140-4407
US

V. Phone/Fax

Practice location:
  • Phone: 305-535-2225
  • Fax: 305-535-2988
Mailing address:
  • Phone: 305-535-2225
  • Fax: 305-535-2988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number13884
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: