| Dental Clinic Llc | |
|
527 Ne 124th St North Miami FL 33161-5423 | |
| (305) 895-6590 | |
| (305) 895-9274 |
| Full Name | Dental Clinic Llc |
|---|---|
| Speciality | Dentist |
| Location | 527 Ne 124th St, North Miami, Florida |
| Authorized Official Name and Position | Mary Isabel Adames (CEO) |
| Authorized Official Contact | 3058956590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Clinic Llc 527 Ne 124th St North Miami FL 33161-5423 Ph: (305) 895-6590 | Dental Clinic Llc 527 Ne 124th St North Miami FL 33161-5423 Ph: (305) 895-6590 |
| NPI Number | 1154726230 |
|---|---|
| Provider Enumeration Date | 10/31/2014 |
| Last Update Date | 10/31/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154726230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN20244 (Florida) | Primary |
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