Organization
ADVANCED ENDODONTIC GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. INGRID EPELMAN DORRA D.D.S (OWNER)
(786) 488-0335
Entity
Organization
Contact information
Practice address
7975 NW 154TH ST, #250, MIAMI LAKES, FL 33016-5863
(305) 615-6300
(305) 330-9902
Mailing address
16426 NE 32ND AVE, NORTH MIAMI BEACH, FL 33160-4138
(305) 615-6300
(305) 330-9902
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN18918
FL
Other
Enumeration date
03/20/2017
Last updated
02/08/2022
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