| Florida Dental Alliance | |
|
4355 W 16 Ave Suite #205a Hialeah FL 33012 | |
| (305) 766-3930 | |
| Not Available |
| Full Name | Florida Dental Alliance |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4355 W 16 Ave Suite, Hialeah, Florida |
| Authorized Official Name and Position | Carlos Pena (OWNER) |
| Authorized Official Contact | 3057663930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Dental Alliance 4355 W 16th Ave Ste 205a Hialeah FL 33012-7668 Ph: (305) 824-9199 | Florida Dental Alliance 4355 W 16 Ave Suite #205a Hialeah FL 33012 Ph: (305) 766-3930 |
| NPI Number | 1023536026 |
|---|---|
| Provider Enumeration Date | 08/30/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023536026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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