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NPI Code Detail

MEDICARE: TRATAMIENTOS DENTALES INC

MEDICARE: TRATAMIENTOS DENTALES INC
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
11223G0001XGeneral Practice Dentistry13211FL

General Provider Information

NPI Number : 1811201460
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRATAMIENTOS DENTALES INC
Provider Business Mailing Address
First Line : 285 NW 27TH AVE STE 19
Second Line :
City : MIAMI
State : FL
Zip : 33125-5133
Country : US
Telephone Number : 305-649-5710
Fax Number : 305-649-5710
Provider Business Practice Location Address
First Line : 285 NW 27TH AVE STE 19
Second Line :
City : MIAMI
State : FL
Zip : 33125-5133
Country : US
Telephone Number : 305-649-5710
Fax Number : 305-649-5710
Authorized Official
Title or Position : OFFICE MANAGER
Name : MR. PEDRO A COLINA
Credential : D.A.
Telephone Number : 305-649-5710
Provider Enumeration Date : 08/05/2010
Last Update Date : 08/05/2010

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Directions to “TRATAMIENTOS DENTALES INC ” Practice Location

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