| Art Dental Inc | |
|
12600 Sw 120th St Ste 114 Miami FL 33186-9116 | |
| (305) 971-7773 | |
| (305) 971-7882 |
| Full Name | Art Dental Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 12600 Sw 120th St Ste 114, Miami, Florida |
| Authorized Official Name and Position | Jorge Eugenio Artiles (PRESIDENT) |
| Authorized Official Contact | 3059717773 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Art Dental Inc 12600 Sw 120th St Ste 114 Miami FL 33186-9116 Ph: (305) 971-7773 | Art Dental Inc 12600 Sw 120th St Ste 114 Miami FL 33186-9116 Ph: (305) 971-7773 |
| NPI Number | 1053021360 |
|---|---|
| Provider Enumeration Date | 11/28/2022 |
| Last Update Date | 11/28/2022 |
| Medicare PECOS PAC ID | 0840656708 |
|---|---|
| Medicare Enrollment ID | O20230518001710 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053021360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Dora Maria Ronquillo Artiles |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1558563932 PECOS PAC ID: 7012373970 Enrollment ID: I20230518001984 |
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