Organization
EXPRESS DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA C AYALA (DENTIST)
(786) 762-4450
Entity
Organization
Contact information
Practice address
15100 NW 67TH AVE STE 101, MIAMI LAKES, FL 33014-2103
(786) 762-4450
Mailing address
15100 NW 67TH AVE STE 101, MIAMI LAKES, FL 33014-2103
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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