Jr Dental Office INC

NPI #1568891398 in Hialeah, Florida

Provider Information

NPI Number: 1568891398
Entity Type: Organization
Organization Name: Jr Dental Office INC
Primary Specialty: Dentist
Enumeration Date: Nov 2, 2013
Last Updated: Nov 2, 2013

Practice Location

Address: 6847 W 4TH AVE
City: Hialeah
State: Florida
ZIP Code: 33014-5337
Phone: (786) 431-5000

Authorized Official

Name: MAITE VARGAS
Title: CEO
Phone: 78643150000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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