NPI 1023536026
Florida Dental Alliance
Practice location
- Address
- 4355 W 16 Ave Suite #205a, Hialeah, FL 33012
- Phone
- (305) 766-3930
- Mailing address
- 4355 W 16th Ave STE 205a, Hialeah, FL 33012-7668
Authorised official
- Name
- Carlos Pena
- Title
- Owner
- Phone
- (305) 766-3930
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1023536026
- Entity type
- Organization
- NPI issued
- 30 Aug 2017
- Record last updated
- 21 Jul 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.