Organization
CORSAR DENTAL
Active
Other names
corsar dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOAN CORTIZAS SARDINAS DMD (OWNER/DENTIST)
(786) 303-6741
Entity
Organization
Contact information
Practice address
4355 W 16TH AVE STE 205A, HIALEAH, FL 33012-7668
(786) 800-9507
Mailing address
4355 W 16TH AVE STE 205A, HIALEAH, FL 33012-7668
(786) 800-9507
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223E0200X
Endodontics
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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