Organization
DENTAL GROUP OF SOUTH FLORIDA,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIA JOSEFINA ALVAREZ DDS (PRESIDENT)
(305) 444-8591
Entity
Organization
Contact information
Practice address
13419 SW 56 ST, MIAMI, FL 33175
(305) 559-2663
(305) 559-3040
Mailing address
13419 SW 56 ST, MIAMI, FL 33175
(305) 559-2663
(305) 559-3040
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN11187
FL
1223G0001X
General Practice Dentistry
Primary
DN17638
FL
1223P0300X
Periodontics
DN12021
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN16376
FL
124Q00000X
Dental Hygienist
DH16946
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076710700
—
FL
Enumeration date
05/16/2007
Last updated
11/01/2019
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