MEDICARE: TESTAR DENTAL PA

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	122300000X	Dentist

General Provider Information

NPI Number	:	1871260323
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TESTAR DENTAL PA

Provider Business Mailing Address
First Line	:	3695 NW 1ST ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-4839
Country	:	US
Telephone Number	:	305-631-0703
Fax Number	:	305-631-0036

Provider Business Practice Location Address
First Line	:	3695 NW 1ST ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-4839
Country	:	US
Telephone Number	:	305-631-0703
Fax Number	:	305-631-0036

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ANAMARY ALVAREZ TESTAR
Credential	:	DDS
Telephone Number	:	786-646-8800

Provider Enumeration Date	:	08/24/2021
Last Update Date	:	08/24/2021

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Directions to “TESTAR DENTAL PA ” Practice Location

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