Organization
DENTAL PROGRESSIVE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ORESTES GARCIA VILLAMIL DMD (PRESIDENT)
(305) 643-6161
Entity
Organization
Contact information
Practice address
434 SW 12TH AVE, MIAMI, FL 33130-2440
(305) 643-6161
Mailing address
434 SW 12TH AVE, MIAMI, FL 33130-2440
(305) 643-6161
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0765651
—
FL
Enumeration date
02/12/2007
Last updated
08/22/2020
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