| Vidamax Dental Group Corp | |
|
2040 Washington St Hollywood FL 33020-6930 | |
| (754) 348-5001 | |
| Not Available |
| Full Name | Vidamax Dental Group Corp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2040 Washington St, Hollywood, Florida |
| Authorized Official Name and Position | Raisa Cortes Fontanet (OWNER) |
| Authorized Official Contact | 7867155571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vidamax Dental Group Corp 2040 Washington St Hollywood FL 33020-6930 Ph: (754) 348-5001 | Vidamax Dental Group Corp 2040 Washington St Hollywood FL 33020-6930 Ph: (754) 348-5001 |
| NPI Number | 1417604166 |
|---|---|
| Provider Enumeration Date | 03/02/2022 |
| Last Update Date | 03/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417604166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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