| Dental Partner Group, Pa | |
|
1124 W 29th St Hialeah FL 33012-5019 | |
| (305) 885-7767 | |
| Not Available |
| Full Name | Dental Partner Group, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1124 W 29th St, Hialeah, Florida |
| Authorized Official Name and Position | Marlen Gutierrez (GENERAL DENTIST) |
| Authorized Official Contact | 3058857767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Partner Group, Pa 1124 W 29th St Hialeah FL 33012-5019 Ph: (305) 885-7767 | Dental Partner Group, Pa 1124 W 29th St Hialeah FL 33012-5019 Ph: (305) 885-7767 |
| NPI Number | 1851842181 |
|---|---|
| Provider Enumeration Date | 10/21/2016 |
| Last Update Date | 10/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851842181 | NPI | - | NPPES |
| 014805301 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN20998 (Florida) | Primary |
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