South Dental at Sunny Isles Beach Inc.

NPI #1285185090 in Sunny Isles Beach, Florida

Provider Information

NPI Number: 1285185090
Entity Type: Organization
Organization Name: South Dental at Sunny Isles Beach Inc.
Primary Specialty: Dentist
Enumeration Date: Oct 17, 2016
Last Updated: Oct 17, 2016

Practice Location

Address: 16850 COLLINS AVE STE 113C
City: Sunny Isles Beach
State: Florida
ZIP Code: 33160-4237
Phone: (786) 707-4757

Authorized Official

Name: ELIAS TOBON-ANGEL, DMD
Title: OWNER
Phone: (786) 224-0848

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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