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Organization
LUVIC ADVANCED DENTISTRY AVENTURA INC
Active
Organization
LUVIC ADVANCED DENTISTRY AVENTURA INC
Active
Other names
Luvic Aventura
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR RODRIGUEZ DDS (CFO)
(305) 206-4423
Entity
Organization
Contact information
Practice address
2627 NE 203RD ST STE 212, AVENTURA, FL 33180-1946
(305) 932-9202
Mailing address
2627 NE 203RD ST STE 212, AVENTURA, FL 33180-1946
(305) 932-9202
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
1223X2210X
Orofacial Pain Dentistry
—
—
261QD0000X
Dental Clinic/Center
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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