| Cg Cosmetic Dental Llc | |
|
2601 Sw 37th Ave Ste 702 Miami FL 33133-2750 | |
| (305) 446-7031 | |
| Not Available |
| Full Name | Cg Cosmetic Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2601 Sw 37th Ave Ste 702, Miami, Florida |
| Authorized Official Name and Position | Juan Carlos Izquierdo (VICE PRESIDENT) |
| Authorized Official Contact | 3054467031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cg Cosmetic Dental Llc 2601 Sw 37th Ave Ste 702 Miami FL 33133-2750 Ph: (305) 446-7031 | Cg Cosmetic Dental Llc 2601 Sw 37th Ave Ste 702 Miami FL 33133-2750 Ph: (305) 446-7031 |
| NPI Number | 1871182881 |
|---|---|
| Provider Enumeration Date | 01/13/2021 |
| Last Update Date | 01/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871182881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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