Organization
BEACON DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR DONGO DMD (DOCTOR)
(305) 962-0070
Entity
Organization
Contact information
Practice address
800 SE 4TH AVE STE 720, HALLANDALE BEACH, FL 33009-6496
(954) 869-0200
Mailing address
800 SE 4TH AVE STE 720, HALLANDALE BEACH, FL 33009-6496
(954) 869-0200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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