Dr.otero Dental Center, Pa | |
1140 W 49 Street Hialeah FL 33012-3148 | |
(305) 819-0008 | |
(786) 518-2733 |
Full Name | Dr.otero Dental Center, Pa |
---|---|
Speciality | Dentist |
Location | 1140 W 49 Street, Hialeah, Florida |
Authorized Official Name and Position | Antonio Otero (PRESIDENT) |
Authorized Official Contact | 3058190008 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dr.otero Dental Center, Pa 1140 W 49 Street Hialeah FL 33012-3148 Ph: (305) 819-0008 | Dr.otero Dental Center, Pa 1140 W 49 Street Hialeah FL 33012-3148 Ph: (305) 819-0008 |
NPI Number | 1710199203 |
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Provider Enumeration Date | 05/04/2007 |
Last Update Date | 02/04/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710199203 | NPI | - | NPPES |
077828102 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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