Organization
DENTAL ASSOCIATES OF HOMESTEAD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHANIE GOMEZ (PROVIDER RELATIONS)
(305) 274-2499
Entity
Organization
Contact information
Practice address
925 NE 30TH TER STE 114, HOMESTEAD, FL 33033-7614
(305) 247-0099
(305) 247-0084
Mailing address
13195 SW 134 ST, 2ND FLOOR, MIAMI, FL 33186
(305) 274-2499
(305) 274-9312
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
08/07/2016
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