Organization
DENTAL CENTER AT BAPTIST, PA
Active
Parent organization
DENTAL CENTER AT BAPTIST, PA
Other names
Dental Specialty Center at Baptist
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL CENTER AT BAPTIST, PA
Authorized official
STEPHANIE GOMEZ (CREDENTIALING MANAGER)
(305) 274-2499
Entity
Organization
Contact information
Practice address
9408 SW 87TH AVE STE 101, MIAMI, FL 33176-2416
(305) 271-3001
Mailing address
13195 SW 134 ST, 2ND FLOOR, MIAMI, FL 33186
(305) 274-2499
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
08/31/2006
Last updated
03/23/2021
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