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DORAL PEDIATRIC DENTISTRY LLC NPI 1720202815


NPI Information

NPI: 1720202815
Provider Name: DORAL PEDIATRIC DENTISTRY, LLC
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
10717 NW 58TH ST
DORAL, FL
ZIP 33178
Phone: (305) 513-4058
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DORAL PEDIATRIC DENTISTRY, LLC is a pediatric dentistry dentist in Doral, FL. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DORAL PEDIATRIC DENTISTRY, LLC NPI is 1720202815. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10717 NW 58TH ST
DORAL, FL
ZIP 33178-801
Phone: (305) 513-4058
Fax: (305) 639-2931

The provider's authorized official is Juan Luis Garrastazu .
The authorized official title is President and has the following contact phone number (305) 513-4058.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric DentistryFLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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