Organization
GREAT DENTAL EXPRESSIONS INC.
Active
Other names
DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANIEL O MAZA (OWNER)
(305) 835-0123
Entity
Organization
Contact information
Practice address
568 HIALEAH DR, HIALEAH, FL 33010-5349
(305) 835-0123
(305) 835-0128
Mailing address
568 HIALEAH DR, HIALEAH, FL 33010-5349
(305) 835-0123
(305) 835-0128
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760737480
DENTIST
FL
Enumeration date
12/27/2019
Last updated
12/27/2019
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