Organization
DENTAL SERVICES OF AVENTURA, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH SANTIAGO (INSURANCE/CREDENTIALING COORDINATOR)
(305) 258-9838
Entity
Organization
Contact information
Practice address
2630 NE 203RD ST, SUITE 101, MIAMI, FL 33180-1903
(305) 258-9838
Mailing address
2630 NE 203RD STREET, SUITE 101, MIAMI, FL 33180-1903
(305) 258-9838
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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