Healthcare Provider Details

I. General information

NPI: 1447648035
Provider Name (Legal Business Name): ALDO JOSE BENDANA DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2015
Last Update Date: 01/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8500 W FLAGLER ST # B205
MIAMI FL
33144-2054
US

IV. Provider business mailing address

8500 W FLAGLER ST # B205
MIAMI FL
33144-2054
US

V. Phone/Fax

Practice location:
  • Phone: 305-559-5700
  • Fax: 305-226-8093
Mailing address:
  • Phone: 305-559-5700
  • Fax: 305-226-8093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN11931
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: