Aventura Pediatric Debtistry, LLC

NPI #1689681397 in Aventura, Florida

Provider Information

NPI Number: 1689681397
Entity Type: Organization
Organization Name: Aventura Pediatric Debtistry, LLC
Primary Specialty: Dentist
Enumeration Date: Aug 2, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 2797 NE 207TH ST
Address 2: SUITE 201
City: Aventura
State: Florida
ZIP Code: 33180-1471
Phone: (305) 935-1613

Authorized Official

Name: DR. RICKY A MARS, DDS
Title: PRESIDENT
Phone: (305) 935-1613

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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