Organization
HIALEAH SQUARE DENTAL ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAGGIE VASQUEST (REGIONAL MANAGER)
(305) 274-2499
Entity
Organization
Contact information
Practice address
4186 W 12TH AVE, HIALEAH, FL 33012-4158
(305) 556-6291
Mailing address
4186 W 12TH AVE, HIALEAH, FL 33012-4158
(305) 556-6291
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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