| Excellence In Dental Care Inc | |
|
3706 W 12th Ave Hialeah FL 33012-4126 | |
| (305) 557-6661 | |
| (305) 557-9704 |
| Full Name | Excellence In Dental Care Inc |
|---|---|
| Speciality | Dentist |
| Location | 3706 W 12th Ave, Hialeah, Florida |
| Authorized Official Name and Position | Rosa A Alvarez (DENTIST/OWNER) |
| Authorized Official Contact | 3055576661 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Excellence In Dental Care Inc 3706 W 12th Ave Hialeah FL 33012-4126 Ph: (305) 557-6661 | Excellence In Dental Care Inc 3706 W 12th Ave Hialeah FL 33012-4126 Ph: (305) 557-6661 |
| NPI Number | 1376946145 |
|---|---|
| Provider Enumeration Date | 10/07/2014 |
| Last Update Date | 03/07/2024 |
| Medicare PECOS PAC ID | 0648540492 |
|---|---|
| Medicare Enrollment ID | O20170726003966 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376946145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 17118 (Florida) | Primary |
| Provider Name | Rosa A Alvarez |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1306944533 PECOS PAC ID: 2365712114 Enrollment ID: I20170726004108 |
| Provider Name | Ana Laura Fernandez |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1740851468 PECOS PAC ID: 4688070758 Enrollment ID: I20210915001618 |
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