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NPI Code Detail

MEDICARE: DENTAL FAMILY CENTER LLC

MEDICARE: DENTAL FAMILY CENTER LLC
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
1261QD0000XDental Clinic/Center

General Provider Information

NPI Number : 1982118535
Entity Type Code : Organization
Provider Name (Legal Business Name) : DENTAL FAMILY CENTER LLC
Provider Business Mailing Address
First Line : 9584 SW 40 ST
Second Line :
City : MIAMI
State : FL
Zip : 33165
Country : US
Telephone Number : 305-552-0702
Fax Number : 305-552-0709
Provider Business Practice Location Address
First Line : 9584 SW 40TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33165-4036
Country : US
Telephone Number : 305-552-0702
Fax Number : 305-552-0709
Authorized Official
Title or Position : MGR
Name : BEATRIZ MORALES
Credential :
Telephone Number : 786-897-0442
Provider Enumeration Date : 11/18/2017
Last Update Date : 11/18/2017

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Directions to “DENTAL FAMILY CENTER LLC ” Practice Location

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