Total Dental Care Of Florida, Llc | |
4410 W 16th Ave Ste 30 Hialeah FL 33012-7835 | |
(305) 747-7711 | |
(305) 697-9785 |
Full Name | Total Dental Care Of Florida, Llc |
---|---|
Speciality | Dentist |
Location | 4410 W 16th Ave Ste 30, Hialeah, Florida |
Authorized Official Name and Position | Farid Blanco (PRESIDENT) |
Authorized Official Contact | 3057477711 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Total Dental Care Of Florida, Llc Po Box 440308 Miami FL 33144-0308 Ph: (786) 971-2319 | Total Dental Care Of Florida, Llc 4410 W 16th Ave Ste 30 Hialeah FL 33012-7835 Ph: (305) 747-7711 |
NPI Number | 1447656491 |
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Provider Enumeration Date | 11/18/2014 |
Last Update Date | 09/30/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447656491 | NPI | - | NPPES |
002973600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DN16115 (Florida) | Primary |
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