Doral Pediatric Dentistry, Llc in Doral - Pediatric Dentistry
Doral Pediatric Dentistry, Llc - NPI 1720202815
Doral Pediatric Dentistry, Llc is a Pediatric Dentistry in Doral, Florida. Doral Pediatric Dentistry, Llc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Doral Pediatric Dentistry, Llc is 1720202815. The last update date is 2023-09-06.
Doral Pediatric Dentistry, Llc's current location address is 10717 Nw 58th St, Doral, Florida. You can contact this provider via phone number 3055134058 and fax number 3056392931. The mailing address for Doral Pediatric Dentistry, Llc is 10717 Nw 58th St, Doral, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Doral Pediatric Dentistry, Llc |
|---|---|
| Address | 10717 Nw 58th St, Doral, Florida |
| Phone Number | 3055134058 |
| Fax Number | 3056392931 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Garrastazu Luis Juan |
| Credentials | DMD |
| Telephone Number | 3055134058 |
NPI Number Detail
| NPI Number | 1720202815 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2023-09-06 |
Provider Mailing Address Detail
| Address | 10717 Nw 58th St |
|---|---|
| City | Doral |
| State | Florida (FL) |
| Post Code | 331782801 |
| Phone Number | 3055134058 |
| Fax Number | 3056392931 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Post Comment/ Review Below
What is the Doral Pediatric Dentistry, Llc's 1720202815?
The Doral Pediatric Dentistry, Llc's NPI (National Provider Identifier) Number is 1720202815. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Doral Pediatric Dentistry, Llc's physical address?
The Doral Pediatric Dentistry, Llc is physically located at 10717 Nw 58Th St, in the city of Doral, FL, with the postal code 331782801.
What is Doral Pediatric Dentistry, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Doral Pediatric Dentistry, Llc's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
On what date was the 1720202815 assigned to Doral Pediatric Dentistry, Llc?
The Doral Pediatric Dentistry, Llc was issued its 1720202815 on 2007-04-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Doral Pediatric Dentistry, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Doral Pediatric Dentistry, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-09-06.