Organization
AVENTURA ENDODONTIC GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARTHUR J. LANE DDS (PRESIDENT)
(305) 933-0001
Entity
Organization
Contact information
Practice address
19495 BISCAYNE BLVD, SUITE #404, AVENTURA, FL 33180-2318
(305) 933-0001
(305) 933-2122
Mailing address
19495 BISCAYNE BLVD., SUITE #404, AVENTURA, FL 33180
(305) 933-0001
(305) 933-2122
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
4125
FL
1223E0200X
Endodontics
DN16345
FL
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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