Organization
PHOENIX DENTAL, INC
Active
Other names
The Family Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMON BANA D.D,S. (PRESIDENT)
(305) 644-9375
Entity
Organization
Contact information
Practice address
2645 SW 37TH AVE, STE 303, MIAMI, FL 33133-2754
(305) 441-0499
(305) 441-0114
Mailing address
2645 SW 37TH AVE, SUITE 303, MIAMI, FL 33133-2754
(305) 441-0499
(305) 441-0114
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN13031
FL
Other
Enumeration date
06/27/2005
Last updated
08/22/2020
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