| Hialeah Dental Specialty Associates, P.l. | |
|
900 W 49th St Suite 400 Hialeah FL 33012-3402 | |
| (305) 558-1211 | |
| (305) 557-6360 |
| Full Name | Hialeah Dental Specialty Associates, P.l. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Pathology |
| Location | 900 W 49th St, Hialeah, Florida |
| Authorized Official Name and Position | Robert B Cushing (MEMBER) |
| Authorized Official Contact | 3055581211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hialeah Dental Specialty Associates, P.l. 900 W 49th St Suite 400 Hialeah FL 33012-3402 Ph: (305) 558-1211 | Hialeah Dental Specialty Associates, P.l. 900 W 49th St Suite 400 Hialeah FL 33012-3402 Ph: (305) 558-1211 |
| NPI Number | 1649375254 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649375254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | DN5112 (Florida) | Primary |
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