Buckeye Dental of Tavernier LLC

NPI #1205165081 in Tavernier, Florida

Provider Information

NPI Number: 1205165081
Entity Type: Organization
Organization Name: Buckeye Dental of Tavernier LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 8, 2009
Last Updated: Dec 8, 2009

Practice Location

Address: 91750 OVERSEAS HWY
City: Tavernier
State: Florida
ZIP Code: 33070-2642
Phone: (305) 852-3219

Authorized Official

Name: DR. OSMANI DIAZ, DDS
Title: GENERAL PARTNER
Phone: (954) 632-8100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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