Organization
HIALEAH SQUARE DENTISTRY, PA
Active
Other names
Towncare Dental of Hialeah Square
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE GOMEZ (PROVIDER RELATIONS SPECIALIST)
(305) 274-2499
Entity
Organization
Contact information
Practice address
4186 W 12TH AVE, HIALEAH, FL 33012-4158
(305) 556-6291
Mailing address
13195 SW 134TH ST FL 2, MIAMI, FL 33186-4461
(305) 274-2499
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/04/2010
Last updated
08/01/2014
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