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NPI Code Detail

MEDICARE: DR. MAILIN ANTON DDS

MEDICARE: DR. MAILIN ANTON DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist25146FL

General Provider Information

NPI Number : 1386149508
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAILIN ANTON DDS
Provider Business Mailing Address
First Line : 1031 NW 127TH CT
Second Line :
City : MIAMI
State : FL
Zip : 33182-1856
Country : US
Telephone Number : 786-340-9596
Fax Number :
Provider Business Practice Location Address
First Line : 901 E 10TH AVE STE 34
Second Line :
City : HIALEAH
State : FL
Zip : 33010-3766
Country : US
Telephone Number : 786-655-0730
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2018
Last Update Date : 05/02/2023

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Directions to “ DR. MAILIN ANTON DDS” Practice Location

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