Organization
AGC DENTISTRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARLENE GENAO CONSUEGRA (DENTIST/OWNER)
(954) 829-2213
Entity
Organization
Contact information
Practice address
1625 NW 20TH ST, MIAMI, FL 33142-7410
(954) 829-2213
Mailing address
1625 NW 20TH ST, MIAMI, FL 33142-7410
(954) 829-2213
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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