| Latin Quarter Dental Pa | |
|
1660 Sw 1 St Miami FL 33135 | |
| (305) 642-8499 | |
| Not Available |
| Full Name | Latin Quarter Dental Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1660 Sw 1 St, Miami, Florida |
| Authorized Official Name and Position | Rodolfo Lea Plaza (DR.) |
| Authorized Official Contact | 3056428499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Latin Quarter Dental Pa 1660 Sw 1st St Miami FL 33135-2105 Ph: (305) 642-8499 | Latin Quarter Dental Pa 1660 Sw 1 St Miami FL 33135 Ph: (305) 642-8499 |
| NPI Number | 1609387133 |
|---|---|
| Provider Enumeration Date | 10/24/2017 |
| Last Update Date | 10/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609387133 | NPI | - | NPPES |
| DN19240 | Other | FL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Florida) | Primary |
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