Organization
ACUARIO DENTAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY M SEGARRA (PRESIDENT)
(813) 210-0982
Entity
Organization
Contact information
Practice address
4355 W 16TH AVE STE B&205A, HIALEAH, FL 33012-7666
(786) 800-9507
(305) 928-1147
Mailing address
16547 FOREST LAKE DR, TAMPA, FL 33624-1204
(813) 210-0982
(305) 928-1147
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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