MEDICARE: MRS. LOURDES ARGUELLES 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	122300000X	Dentist	DN12649	FL

General Provider Information

NPI Number	:	1932410396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LOURDES ARGUELLES D.M.D.

Provider Business Mailing Address
First Line	:	10105 SW 78TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33156-2624
Country	:	US
Telephone Number	:	305-301-7089
Fax Number	:

Provider Business Practice Location Address
First Line	:	10105 SW 78TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33156-2624
Country	:	US
Telephone Number	:	305-301-7089
Fax Number	:

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

Provider Enumeration Date	:	06/30/2010
Last Update Date	:	06/30/2010

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