Ebenezer Dental Group

NPI #1356799878 in Hialeah, Florida

Provider Information

NPI Number: 1356799878
Entity Type: Organization
Organization Name: Ebenezer Dental Group
Primary Specialty: Dentist
Enumeration Date: May 25, 2016
Last Updated: May 25, 2016

Practice Location

Address: 4301 PALM AVE
Address 2: SUITE F
City: Hialeah
State: Florida
ZIP Code: 33012-4060
Phone: (305) 826-8980

Authorized Official

Name: MANUEL ABREU, DDS
Title: DOCTOR
Phone: (305) 826-8980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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