| Dental Progressive Inc | |
|
434 Sw 12th Ave Miami FL 33130-2440 | |
| (305) 643-6161 | |
| Not Available |
| Full Name | Dental Progressive Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 434 Sw 12th Ave, Miami, Florida |
| Authorized Official Name and Position | Orestes Garcia Villamil (PRESIDENT) |
| Authorized Official Contact | 3056436161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Progressive Inc 434 Sw 12th Ave Miami FL 33130-2440 Ph: (305) 643-6161 | Dental Progressive Inc 434 Sw 12th Ave Miami FL 33130-2440 Ph: (305) 643-6161 |
| NPI Number | 1295876134 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295876134 | NPI | - | NPPES |
| 0765651 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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