Organization
ALPHA DENTAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAREMI VAZQUEZ (GENERAL MANEGER)
(786) 238-7406
Entity
Organization
Contact information
Practice address
4999 W AVE, SUITE #1, HIALEAH, FL 33012
(786) 238-7406
(786) 238-7429
Mailing address
4999 W 8TH AVE STE 1, HIALEAH, FL 33012-3409
(786) 238-7406
(786) 238-7429
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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