Hialeah Square Dentistry, PA

NPI #1982924585 in Hialeah, Florida

Provider Information

NPI Number
1982924585
Entity Type
Organization
Organization Name
Hialeah Square Dentistry, PA
Primary Specialty
Dentist - General Practice
Enumeration Date
Jun 4, 2010
Last Updated
Aug 1, 2014

Practice Location

Address
4186 W 12TH AVE
State
Florida
ZIP Code
33012-4158
Phone
(305) 556-6291

Authorized Official

Name
STEPHANIE GOMEZ
Title
PROVIDER RELATIONS SPECIALIST
Phone
(305) 274-2499

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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