Ag Dental Group | |
6641-a South Dixie Highway Miami FL 33143-7919 | |
(305) 667-0306 | |
(305) 667-0368 |
Full Name | Ag Dental Group |
---|---|
Speciality | Dentist - General Practice |
Location | 6641-a South Dixie Highway, Miami, Florida |
Authorized Official Name and Position | Mario Kenneth Garcia (PRESIDENT/DENTIST) |
Authorized Official Contact | 3056670306 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ag Dental Group 6641-a South Dixie Highway Miami FL 33143-7919 Ph: (305) 667-0306 | Ag Dental Group 6641-a South Dixie Highway Miami FL 33143-7919 Ph: (305) 667-0306 |
NPI Number | 1811912660 |
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Provider Enumeration Date | 07/13/2006 |
Last Update Date | 05/27/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811912660 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DN12696 (Florida) | Primary |
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