Organization
DENTAL PROFESSIONAL GROUP,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA I TOLEDO (OFFICE MANAGER)
(786) 801-1354
Entity
Organization
Contact information
Practice address
2740 SW 97TH AVE, SUITE 109, MIAMI, FL 33165-2681
(786) 801-1354
(786) 801-1374
Mailing address
15711 SW 59TH TER, MIAMI, FL 33193-5510
(786) 801-1354
(786) 801-1374
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 13211
FL
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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