Healthcare Provider Details

I. General information

NPI: 1558370791
Provider Name (Legal Business Name): ALDO J BENDANA DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 06/08/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8500 W FLAGLER ST SUITE # B-205
MIAMI FL
33144-2054
US

IV. Provider business mailing address

8500 W FLAGLER ST SUITE # B-205
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 Code1223E0200X
TaxonomyEndodontics
License NumberDN11931
License Number StateFL

VIII. Authorized Official

Name: DR. ALDO JOSE BENDANA
Title or Position: PRESIDENT/OWNER
Credential: D.D.S.
Phone: 305-559-5700