| NPI | 1912395930 |
|---|---|
| Doing Business As | AVENTURA DENTAL GROUP, LLC |
| Entity Type | Organization |
| Authorized Contact | STEVEN MUCKEY Managing Director 954-650-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN8582) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN15655) |
| 1223G0001X Dentist, General Practice (Licence: FL DN19259) | |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2015-01-06 |