| Advanced Endodontic Group | |
|
7975 Nw 154th St #250 Miami Lakes FL 33016-5863 | |
| (305) 615-6300 | |
| (305) 330-9902 |
| Full Name | Advanced Endodontic Group |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 7975 Nw 154th St, Miami Lakes, Florida |
| Authorized Official Name and Position | Ingrid Epelman Dorra (OWNER) |
| Authorized Official Contact | 7864880335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Endodontic Group 16426 Ne 32nd Ave North Miami Beach FL 33160-4138 Ph: (305) 615-6300 | Advanced Endodontic Group 7975 Nw 154th St #250 Miami Lakes FL 33016-5863 Ph: (305) 615-6300 |
| NPI Number | 1205377488 |
|---|---|
| Provider Enumeration Date | 03/20/2017 |
| Last Update Date | 02/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205377488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | DN18918 (Florida) | Primary |
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