| Dentist At Market Square, Inc. | |
|
11770 Sw 104th St Miami FL 33186-3601 | |
| (786) 476-3583 | |
| (786) 476-3586 |
| Full Name | Dentist At Market Square, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 11770 Sw 104th St, Miami, Florida |
| Authorized Official Name and Position | Reinaldo Sanchez (DENTIST/OWNER) |
| Authorized Official Contact | 7864763583 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentist At Market Square, Inc. 11770 Sw 104th St Miami FL 33186-3601 Ph: (786) 476-3583 | Dentist At Market Square, Inc. 11770 Sw 104th St Miami FL 33186-3601 Ph: (786) 476-3583 |
| NPI Number | 1821346677 |
|---|---|
| Provider Enumeration Date | 08/28/2012 |
| Last Update Date | 08/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821346677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN15236 (Florida) | Primary |
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