Organization
PVR DENTAL SERVICES, LLC
Active
Other names
Evolution Orthodontics & Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUBEN D VILORIA DDS (DOCTOR)
(305) 859-0539
Entity
Organization
Contact information
Practice address
7875 SW 104TH ST STE 100, MIAMI, FL 33156-2642
(646) 305-7086
Mailing address
1480 NW NORTH RIVER DR # E2305, MIAMI, FL 33125-2867
(305) 859-0539
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
11/30/2023
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