| Georgina Mesa D.m.d., P.a. | |
|
1878 Sw 57th Ave Miami FL 33155-2139 | |
| (305) 262-9299 | |
| (305) 262-8772 |
| Full Name | Georgina Mesa D.m.d., P.a. |
|---|---|
| Speciality | Dentist |
| Location | 1878 Sw 57th Ave, Miami, Florida |
| Authorized Official Name and Position | Georgina Mesa (PRESIDENT) |
| Authorized Official Contact | 3053807000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgina Mesa D.m.d., P.a. 13550 Sw 120th St Suite 512 Miami FL 33186-7397 Ph: (305) 380-7000 | Georgina Mesa D.m.d., P.a. 1878 Sw 57th Ave Miami FL 33155-2139 Ph: (305) 262-9299 |
| NPI Number | 1770997876 |
|---|---|
| Provider Enumeration Date | 06/17/2014 |
| Last Update Date | 06/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770997876 | NPI | - | NPPES |
| 075011500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN0013428 (Florida) | Primary |
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