Organization
DIXIE DENTAL CORP
Active
Other names
Dental American Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANUEL GONZALEZ (GENERAL MANAGER)
(305) 512-4589
Entity
Organization
Contact information
Practice address
8718 SW 72ND ST, MIAMI, FL 33173-3512
(305) 273-9330
(305) 273-9331
Mailing address
3408 W 84TH ST STE 317, HIALEAH, FL 33018-4944
(305) 512-4589
(305) 273-9331
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN12593
FL
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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