Organization
DR.OTERO DENTAL CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO OTERO DDS (PRESIDENT)
(305) 819-0008
Entity
Organization
Contact information
Practice address
1140 W 49 STREET, HIALEAH, FL 33012-3148
(305) 819-0008
(786) 518-2733
Mailing address
1140 W 49 STREET, HIALEAH, FL 33012-3148
(305) 819-0008
(786) 518-2733
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
077828102
—
FL
Enumeration date
05/04/2007
Last updated
02/04/2020
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