Organization
BOWTIE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD JARQUIN DMD (OWNER)
(305) 224-3319
Entity
Organization
Contact information
Practice address
12035 S DIXIE HWY, PINECREST, FL 33156-5234
(305) 233-8000
(305) 230-3505
Mailing address
PO BOX 565005, MIAMI, FL 33256-5005
(305) 233-8000
(305) 230-3505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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