Mta Dental LLC
NPI #1043505068 in Coral Springs, Florida
Provider Information
- NPI Number
- 1043505068
- Entity Type
- Organization
- Organization Name
- Mta Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 17, 2011
- Last Updated
- Jun 17, 2011
Practice Location
- Address
- 6268 W SAMPLE RD
- Address 2
- UNIT 401
- City
- Coral Springs
- State
- Florida
- ZIP Code
- 33067-3272
- Phone
- (305) 484-7879
Authorized Official
- Name
- DR. MAYA GEORGES ASSI, DMD
- Title
- PRESIDENT
- Phone
- (305) 484-7879
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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