MEDICARE: BEAUTIFY THE HOOD 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
1	1223G0001X	General Practice Dentistry

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DN18479	OTHER	FL	DENTAL LICENSE

General Provider Information

NPI Number	:	1871115386
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEAUTIFY THE HOOD INC

Provider Business Mailing Address
First Line	:	3058 NW 79TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33147-4706
Country	:	US
Telephone Number	:	305-696-9999
Fax Number	:	305-696-2050

Provider Business Practice Location Address
First Line	:	3058 NW 79TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33147-4706
Country	:	US
Telephone Number	:	305-696-9999
Fax Number	:	305-696-2050

Authorized Official
Title or Position	:	DENTIST/ CEO
Name	:	DR. HAJAR F HASAN-VERRETT
Credential	:	DDS
Telephone Number	:	305-812-6321

Provider Enumeration Date	:	05/07/2020
Last Update Date	:	05/07/2020

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Directions to “BEAUTIFY THE HOOD INC ” Practice Location

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