Organization
JCM DENTAL GROUP, INC
Active
Other names
JCM FAMILY DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIETA MARIA MORALES RUEDA DDS (PRESIDENT)
(305) 400-9835
Entity
Organization
Contact information
Practice address
9835 SW 72ND ST STE 209, MIAMI, FL 33173-4647
(305) 400-9835
(786) 796-9699
Mailing address
9835 SW 72ND ST STE 209, MIAMI, FL 33173-4647
(305) 400-9835
(786) 796-9699
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223D0004X
Dental Anesthesiology
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0008X
Oral and Maxillofacial Radiology Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
1223X2210X
Orofacial Pain Dentistry
—
—
Other
Enumeration date
02/26/2024
Last updated
06/18/2024
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