| Dental Office | |
|
10688 Coral Way Miami FL 33165-7917 | |
| (305) 553-1640 | |
| (305) 271-1167 |
| Full Name | Dental Office |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10688 Coral Way, Miami, Florida |
| Authorized Official Name and Position | Jose Antonio Carreno (PRESIDENT) |
| Authorized Official Contact | 3055531640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Office 10688 Coral Way Miami FL 33165-7917 Ph: (305) 553-1640 | Dental Office 10688 Coral Way Miami FL 33165-7917 Ph: (305) 553-1640 |
| NPI Number | 1295029700 |
|---|---|
| Provider Enumeration Date | 06/01/2011 |
| Last Update Date | 06/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295029700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN7219 (Florida) | Primary |
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