Organization
ASTORIA DENTAL AT THE BEACH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EVAN JUSTIN WILKES MANAGER (MANAGER)
(305) 467-7490
Entity
Organization
Contact information
Practice address
1235 ALTON RD, MIAMI BEACH, FL 33139-3809
(305) 674-0200
(305) 674-7346
Mailing address
1235 ALTON RD, MIAMI BEACH, FL 33139-3809
(305) 674-0200
(305) 674-7346
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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