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Organization
PHOENIX DENTAL, INC
Active
Organization
PHOENIX DENTAL, INC
Active
Other names
The Family Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMON BANA D.D,S. (PRESIDENT)
(305) 644-9375
Entity
Organization
Contact information
Practice address
2645 SW 37TH AVE, STE 303, MIAMI, FL 33133-2754
(305) 441-0499
(305) 441-0114
Mailing address
2645 SW 37TH AVE, SUITE 303, MIAMI, FL 33133-2754
(305) 441-0499
(305) 441-0114
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN13031
FL
Other
Enumeration date
06/27/2005
Last updated
08/22/2020
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