Organization
DENTAL SERVICES PLUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENATE E MANNS (PRESIDENT)
(786) 539-6935
Entity
Organization
Contact information
Practice address
5376 W 16TH AVE, HIALEAH, FL 33012-2165
(305) 231-5455
Mailing address
5376 W 16TH AVE, HIALEAH, FL 33012-2165
(305) 231-5455
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1834
FL
Other
Enumeration date
02/18/2010
Last updated
02/18/2010
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