# SUPERIOR DENTAL TEAM LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Superior Dental Team Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366835860
- **Authorized official:** DR. PEDRO LLEO DDS (DENTIST)
- **Authorized official phone:** (786) 360-6262

## Contact information

- **Practice address:** 148 HIALEAH DR, HIALEAH, FL 33010-5250
- **Practice address phone:** (786) 360-6262
- **Mailing address:** 148 HIALEAH DR, HIALEAH, FL 33010-5250
- **Mailing address phone:** (786) 360-6262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | — | FL | Yes |

## Other

- **Enumeration date:** 03/09/2015
- **Last updated:** 07/21/2022