| Samar Dental Group | |
|
8601 Nw 58th St Unit 102 Doral FL 33166-3312 | |
| (786) 261-1163 | |
| Not Available |
| Full Name | Samar Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8601 Nw 58th St Unit 102, Doral, Florida |
| Authorized Official Name and Position | Luis C Collazos (DENTIST) |
| Authorized Official Contact | 7862611163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samar Dental Group 8500 Sw 109th Ave Apt 212 Miami FL 33173-4458 Ph: (786) 261-1163 | Samar Dental Group 8601 Nw 58th St Unit 102 Doral FL 33166-3312 Ph: (786) 261-1163 |
| NPI Number | 1780093781 |
|---|---|
| Provider Enumeration Date | 08/05/2014 |
| Last Update Date | 08/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780093781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 20855 (Florida) | Primary |
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