Organization
HENAO AND ASSOCIATES DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA HENAO DDS (DENTIST/OWNER)
(305) 570-1777
Entity
Organization
Contact information
Practice address
18300 NW 62ND AVE, SUITE 120, HIALEAH, FL 33015-8200
(305) 570-1777
Mailing address
18300 NW 62ND AVE, SUITE 120, HIALEAH, FL 33015-8200
(305) 570-1777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 17090
FL
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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