Organization
DENTAL ADVANTAGE ADMINISTRATION
Active
Parent organization
DENTAL ADVANTAGE ADMINISTRATION
Other names
DentalAdvantage Administration
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL ADVANTAGE ADMINISTRATION
Authorized official
REYNA LACAYO ADMINISTRATION (OFFICE MANAGER)
(305) 642-0003
Entity
Organization
Contact information
Practice address
3383 NW 7TH ST, SUITE 101, MIAMI, FL 33125-4140
(305) 642-0003
(305) 642-0009
Mailing address
3383 NW 7TH ST, SUITE 101, MIAMI, FL 33125-4140
(305) 642-0003
(305) 642-0009
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19356
FL
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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