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NPI Code Detail

MEDICARE: MIAMI LAKES DENTAL HEALTH CENTER

MEDICARE: MIAMI LAKES DENTAL HEALTH CENTER
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
1122300000XDentist

General Provider Information

NPI Number : 1821145228
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIAMI LAKES DENTAL HEALTH CENTER
Provider Business Mailing Address
First Line : 15450 NEW BARN RD
Second Line : 101
City : MIAMI LAKES
State : FL
Zip : 33014-2169
Country : US
Telephone Number : 305-557-7775
Fax Number :
Provider Business Practice Location Address
First Line : 15450 NEW BARN RD
Second Line : 101
City : MIAMI LAKES
State : FL
Zip : 33014-2169
Country : US
Telephone Number : 305-557-7775
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. JUAN CARLOS ERRO
Credential : D.,D.,S.
Telephone Number : 305-557-7775
Provider Enumeration Date : 01/05/2007
Last Update Date : 08/22/2020

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Directions to “MIAMI LAKES DENTAL HEALTH CENTER ” Practice Location

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