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General NPI Number Information
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NPI Number | 1720373889
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Entity Type | Organization
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Legal Business Name | EXCLUSIVE DENTAL CARE GROUP, INC
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Dates
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Enumeration Date | 06/16/2011
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Last Update Date | 01/10/2024
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Provider Practice Location Address
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Address Line | 7150 W 20TH AVE STE 103
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City | HIALEAH
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State | FL
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Zip | 33016-5509
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Country | US
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Telephone | 305-798-4041
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Fax | 789-442-2186
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Provider Business Mailing Address
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Address Line | 7150 W 20TH AVE STE 103
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City | HIALEAH
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State | FL
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Zip | 33016-5509
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Country | US
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Telephone | 305-392-1942
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Fax | 305-456-7234
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Authorized Official
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Title or Position | OWNER
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Name | CELIA C FIGUEROA
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Credential | DDS
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Telephone | 305-392-1942
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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