| Rgd Dental Care | |
|
11870 Hialeah Gardens Blvd Suite 129 A Hialeah Gardens FL 33018-4235 | |
| (786) 536-7537 | |
| (786) 534-5934 |
| Full Name | Rgd Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11870 Hialeah Gardens Blvd, Hialeah Gardens, Florida |
| Authorized Official Name and Position | Reydel Gonzalez (PRESIDENT) |
| Authorized Official Contact | 7865367537 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rgd Dental Care 11870 Hialeah Gardens Blvd Suite 129 A Hialeah Gardens FL 33018-4235 Ph: (786) 536-7537 | Rgd Dental Care 11870 Hialeah Gardens Blvd Suite 129 A Hialeah Gardens FL 33018-4235 Ph: (786) 536-7537 |
| NPI Number | 1972951952 |
|---|---|
| Provider Enumeration Date | 05/31/2016 |
| Last Update Date | 05/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972951952 | NPI | - | NPPES |
| 016573500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN19923 (Florida) | Primary |
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