Organization
DENTAL ASSOCIATES OF BAL HARBOUR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFREDO DOMINGO CORPAS DDS (DENTIST/OWNER)
(786) 512-3178
Entity
Organization
Contact information
Practice address
260 95TH ST, SUITE 209, SURFSIDE, FL 33154-2807
(305) 866-8290
(305) 866-8298
Mailing address
10545 SW 74TH AVE, PINECREST, FL 33156-3882
(786) 512-3187
(305) 740-9507
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN0013451
FL
Other
Enumeration date
03/25/2009
Last updated
03/25/2009
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