Organization
BELLLO-BURGOS, D.M.D. , P.A.
Active
Other names
DORAL PARK DENTAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESA J. BELLO-BURGOS D.M.D., D.D.S. (PRESIDENT)
(305) 477-5299
Entity
Organization
Contact information
Practice address
9757 NW 41ST ST, DORAL, FL 33178-2381
(305) 477-5299
(305) 477-5219
Mailing address
12095 NW 5TH ST, DORAL, FL 33182-1343
(395) 477-5299
(305) 477-5219
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN15625
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56761
—
FL
Enumeration date
03/02/2007
Last updated
04/15/2009
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