Organization
AMERICA DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMIRO BARRIENTOS (MANAGER)
(305) 485-8427
Entity
Organization
Contact information
Practice address
3631 SW 87TH AVE, MIAMI, FL 33165-4307
(305) 485-8427
(305) 485-8429
Mailing address
3631 SW 87TH AVE, MIAMI, FL 33165-4307
(305) 485-8427
(305) 485-8429
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN 15053
FL
122300000X
Dentist
DN 12879
FL
122300000X
Dentist
Primary
DN 16661
FL
122300000X
Dentist
DN 17091
FL
1223G0001X
General Practice Dentistry
DN 17931
FL
Other
Enumeration date
02/15/2007
Last updated
10/15/2007
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