| Jossue Alfonso Dmd Pa | |
|
351 Nw 42nd Ave Suite 402 Miami FL 33126-5683 | |
| (305) 642-4142 | |
| (305) 642-4143 |
| Full Name | Jossue Alfonso Dmd Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 351 Nw 42nd Ave, Miami, Florida |
| Authorized Official Name and Position | Jossue Alfonso (PRESIDENT) |
| Authorized Official Contact | 3056424142 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jossue Alfonso Dmd Pa 351 Nw 42nd Ave Suite 402 Miami FL 33126-5683 Ph: (305) 642-4142 | Jossue Alfonso Dmd Pa 351 Nw 42nd Ave Suite 402 Miami FL 33126-5683 Ph: (305) 642-4142 |
| NPI Number | 1174931208 |
|---|---|
| Provider Enumeration Date | 08/01/2014 |
| Last Update Date | 08/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174931208 | NPI | - | NPPES |
| 009946500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN19316 (Florida) | Primary |
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