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Organization
ALPHA DENTAL GROUP
Active
Organization
ALPHA DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA M BOBADILLA D.D.S. (OWNER)
(954) 253-5998
Entity
Organization
Contact information
Practice address
4999 W 8TH AVE, SUITE 1, HIALEAH, FL 33012-3409
(786) 238-7406
(786) 238-7429
Mailing address
4999 W 8TH AVE, SUITE 1, HIALEAH, FL 33012-3409
(786) 267-0218
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DN16956
FL
Other
Enumeration date
08/01/2014
Last updated
08/01/2014
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