Organization
ACOSTALL DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLANCA ACOSTA HERNANDEZ DDS (OWNER)
(786) 870-2897
Entity
Organization
Contact information
Practice address
1124 W 29TH ST, HIALEAH, FL 33012-5019
(305) 885-7767
(305) 885-7956
Mailing address
19592 NW 82ND PL, HIALEAH, FL 33015-5992
(786) 870-2897
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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