| Hialeah Dental Center Pa | |
|
1518 W 49th St Hialeah FL 33012-2923 | |
| (305) 823-2661 | |
| Not Available |
| Full Name | Hialeah Dental Center Pa |
|---|---|
| Speciality | Dentist |
| Location | 1518 W 49th St, Hialeah, Florida |
| Authorized Official Name and Position | Erik O Calderon (PRESIDENT) |
| Authorized Official Contact | 3058232661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hialeah Dental Center Pa 1518 W 49th St Hialeah FL 33012-2923 Ph: (305) 823-2661 | Hialeah Dental Center Pa 1518 W 49th St Hialeah FL 33012-2923 Ph: (305) 823-2661 |
| NPI Number | 1255628988 |
|---|---|
| Provider Enumeration Date | 07/01/2011 |
| Last Update Date | 07/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255628988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN19377 (Florida) | Primary |
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