Organization
AVENTURA PEDIATRIC DEBTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICKY A MARS DDS (PRESIDENT)
(305) 935-1613
Entity
Organization
Contact information
Practice address
2797 NE 207TH ST, SUITE 201, AVENTURA, FL 33180-1471
(305) 935-1613
(305) 935-4258
Mailing address
2797 NE 207TH ST, SUITE 201, AVENTURA, FL 33180-1471
(305) 935-1613
(305) 935-4258
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11641
FL
Other
Enumeration date
08/02/2006
Last updated
08/22/2020
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