Organization
DENTAL GROUP OF MIAMI PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE R CALVO JR. DDS (OFFICE DOCTOR)
(305) 443-9206
Entity
Organization
Contact information
Practice address
4500 NW 7TH STREET, DENTAL GROUP OF MIAMI PA, MIAMI, FL 33126-2307
(305) 433-9206
(305) 567-3482
Mailing address
4500 NW 7TH STREET, DENTAL GROUP OF MIAMI PA, MIAMI, FL 33126-2307
(305) 433-9206
(305) 567-3482
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN11226
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183943
COMP BENEFITS
—
05
—
41061
—
FL
01
—
67921
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/10/2006
Last updated
08/22/2020
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