MEDICARE: ARIEL EXPOSITO D.M.D.

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
1	1223G0001X	General Practice Dentistry	DN19078	FL

General Provider Information

NPI Number	:	1508177577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIEL EXPOSITO D.M.D.

Provider Business Mailing Address
First Line	:	3945 SW 89TH AVE APT 103
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-5466
Country	:	US
Telephone Number	:	786-514-5891
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 ARTHUR GODFREY RD STE 818
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3608
Country	:	US
Telephone Number	:	305-674-0095
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2010
Last Update Date	:	06/24/2010

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