| Universal Dental Group | |
|
1935 West 60 Street Hialeah FL 33012 | |
| (305) 821-3344 | |
| (305) 821-3311 |
| Full Name | Universal Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1935 West 60 Street, Hialeah, Florida |
| Authorized Official Name and Position | Juan Gonzalez (PRESIDENT) |
| Authorized Official Contact | 3059031161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Universal Dental Group 1935 W 60th St Hialeah FL 33012-7504 Ph: (305) 821-3344 | Universal Dental Group 1935 West 60 Street Hialeah FL 33012 Ph: (305) 821-3344 |
| NPI Number | 1265709554 |
|---|---|
| Provider Enumeration Date | 11/30/2011 |
| Last Update Date | 11/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265709554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN13222 (Florida) | Primary |
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