Organization
GOMEZ & REVUELTA,DDS,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANA MARIA REVUELTA (OWNER/DENTIST)
(305) 558-2933
Entity
Organization
Contact information
Practice address
1255 W 46TH ST STE 1, HIALEAH, FL 33012-3257
(305) 558-2933
(305) 558-6970
Mailing address
1255 W 46TH ST STE 1, HIALEAH, FL 33012-3257
(305) 558-2933
(305) 558-6970
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN12049
FL
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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