| Aventura Pediatric Debtistry, Llc | |
|
2797 Ne 207th St Suite 201 Aventura FL 33180-1471 | |
| (305) 935-1613 | |
| (305) 935-4258 |
| Full Name | Aventura Pediatric Debtistry, Llc |
|---|---|
| Speciality | Dentist |
| Location | 2797 Ne 207th St, Aventura, Florida |
| Authorized Official Name and Position | Ricky A Mars (PRESIDENT) |
| Authorized Official Contact | 3059351613 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aventura Pediatric Debtistry, Llc 2797 Ne 207th St Suite 201 Aventura FL 33180-1471 Ph: (305) 935-1613 | Aventura Pediatric Debtistry, Llc 2797 Ne 207th St Suite 201 Aventura FL 33180-1471 Ph: (305) 935-1613 |
| NPI Number | 1689681397 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689681397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 11641 (Florida) | Primary |
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