| Dental Center Llc | |
|
1125 Nw 22nd Ave Miami FL 33125-2738 | |
| (305) 649-6112 | |
| (305) 649-1803 |
| Full Name | Dental Center Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1125 Nw 22nd Ave, Miami, Florida |
| Authorized Official Name and Position | Luis S Lopez-chamorro (ADMINISTRATOR) |
| Authorized Official Contact | 3056496112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Center Llc 1125 Nw 22nd Ave Miami FL 33125-2738 Ph: (305) 649-6112 | Dental Center Llc 1125 Nw 22nd Ave Miami FL 33125-2738 Ph: (305) 649-6112 |
| NPI Number | 1649802760 |
|---|---|
| Provider Enumeration Date | 02/06/2020 |
| Last Update Date | 07/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649802760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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