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Organization
MTA DENTAL LLC
Active
Organization
MTA DENTAL LLC
Active
Other names
Alpha Dental Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAYA GEORGES ASSI DMD (PRESIDENT)
(305) 484-7879
Entity
Organization
Contact information
Practice address
6268 W SAMPLE RD, UNIT 401, CORAL SPRINGS, FL 33067-3272
(305) 484-7879
Mailing address
6268 W SAMPLE RD, UNIT 401, CORAL SPRINGS, FL 33067-3272
(305) 484-7879
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN17962
FL
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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