FL SOUTHERN DENTAL PPO PA

AVENTURA, FL
NPI1053126573
Doing Business AsAVENTURA DENTAL OF EXCELLENCE
Entity TypeOrganization
Authorized ContactERIKA MELISSA MENJIVAR
Sr. Credentialing Specialist
469-596-6137
Organization Subpart ?Yes
Primary Taxonomy122300000X Dentist
Enumeration Date2025-02-11
Last Update Date2025-02-11
Business Address
FL SOUTHERN DENTAL PPO PA
21355 E DIXIE HWY STE 105
AVENTURA, FL 33180-1239
Phone number: 305-935-3157
Mailing Address
FL SOUTHERN DENTAL PPO PA
5830 GRANITE PKWY STE 780
PLANO, TX 75024-6775
Phone number: