Tlc Dental - Aventura, LLC

NPI #1912395930 in Aventura, Florida

Provider Information

NPI Number: 1912395930
Entity Type: Organization
Organization Name: Tlc Dental - Aventura, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 29, 2014
Last Updated: Jan 6, 2015

Practice Location

Address: 20475 BISCAYNE BLVD
City: Aventura
State: Florida
ZIP Code: 33180-1550
Phone: (305) 935-4030

Authorized Official

Name: STEVEN MUCKEY
Title: MANAGING DIRECTOR
Phone: (954) 650-1122

Specialties & Taxonomy Codes

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

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