Organization
JR DENTAL OFFICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAITE VARGAS (CEO)
78643150000
Entity
Organization
Contact information
Practice address
6847 W 4TH AVE, HIALEAH, FL 33014-5337
(786) 431-5000
(786) 431-5061
Mailing address
6847 W 4TH AVE, HIALEAH, FL 33014-5337
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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