| Aventura Endodontic Group, Llc | |
|
19495 Biscayne Blvd Suite #404 Aventura FL 33180-2318 | |
| (305) 933-0001 | |
| (305) 933-2122 |
| Full Name | Aventura Endodontic Group, Llc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 19495 Biscayne Blvd, Aventura, Florida |
| Authorized Official Name and Position | Arthur J. Lane (PRESIDENT) |
| Authorized Official Contact | 3059330001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aventura Endodontic Group, Llc 19495 Biscayne Blvd. Suite #404 Aventura FL 33180 Ph: (305) 933-0001 | Aventura Endodontic Group, Llc 19495 Biscayne Blvd Suite #404 Aventura FL 33180-2318 Ph: (305) 933-0001 |
| NPI Number | 1962658583 |
|---|---|
| Provider Enumeration Date | 08/14/2008 |
| Last Update Date | 08/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962658583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 4125 (Florida) | Primary |
| 1223E0200X | Dentist - Endodontics | DN16345 (Florida) | Secondary |
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