Individual
DR. ERNESTO J MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11020 SW 88TH ST STE 202, MIAMI, FL 33176-1202
(305) 279-0408
(305) 271-2447
Mailing address
11020 SW 88TH ST STE 202, MIAMI, FL 33176-1202
(305) 279-0408
(305) 271-2447
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN11544
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
581518
UNITED CONCORDIA
FL
01
—
63021
BC & BS OF FLORIDA
FL
Enumeration date
04/23/2007
Last updated
07/08/2007
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