| Dentalvana | |
|
12417 Biscayne Blvd North Miami FL 33181 | |
| (305) 504-1905 | |
| Not Available |
| Full Name | Dentalvana |
|---|---|
| Speciality | Dentist |
| Location | 12417 Biscayne Blvd, North Miami, Florida |
| Authorized Official Name and Position | Julia Bewley (MANAGER) |
| Authorized Official Contact | 3055041905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentalvana 12417 Biscayne Blvd North Miami FL 33181 Ph: (305) 504-1905 | Dentalvana 12417 Biscayne Blvd North Miami FL 33181 Ph: (305) 504-1905 |
| NPI Number | 1497178834 |
|---|---|
| Provider Enumeration Date | 01/21/2014 |
| Last Update Date | 01/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497178834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN 19350 (Florida) | Primary |
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