| Dental Group Of South Florida Iv | |
|
11373 Sw 211th St Ste 10-11 Miami FL 33189-2245 | |
| (305) 542-3197 | |
| (786) 713-0959 |
| Full Name | Dental Group Of South Florida Iv |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11373 Sw 211th St Ste 10-11, Miami, Florida |
| Authorized Official Name and Position | Rolando Bello (VP) |
| Authorized Official Contact | 3055423197 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Group Of South Florida Iv 11373 Sw 211th St Ste 10-11 Miami FL 33189-2245 Ph: (305) 542-3197 | Dental Group Of South Florida Iv 11373 Sw 211th St Ste 10-11 Miami FL 33189-2245 Ph: (305) 542-3197 |
| NPI Number | 1477085983 |
|---|---|
| Provider Enumeration Date | 04/03/2017 |
| Last Update Date | 04/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477085983 | NPI | - | NPPES |
| 076710700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN17638 (Florida) | Primary |
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