# ALPHA DENTAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679981757
- **Authorized official:** PATRICIA M BOBADILLA D.D.S. (OWNER)
- **Authorized official phone:** (954) 253-5998

## Contact information

- **Practice address:** 4999 W 8TH AVE, SUITE 1, HIALEAH, FL 33012-3409
- **Practice address phone:** (786) 238-7406
- **Practice address fax:** (786) 238-7429
- **Mailing address:** 4999 W 8TH AVE, SUITE 1, HIALEAH, FL 33012-3409
- **Mailing address phone:** (786) 267-0218

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | DN16956 | FL | Yes |

## Other

- **Enumeration date:** 08/01/2014
- **Last updated:** 08/01/2014