| Andina Dental Studio Inc | |
|
4100 Dawnbrook Dr Ste 4 Wilmington DE 19804-3932 | |
| (302) 543-5987 | |
| (302) 510-4171 |
| Full Name | Andina Dental Studio Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4100 Dawnbrook Dr Ste 4, Wilmington, Delaware |
| Authorized Official Name and Position | Andres Hurtado (DENTIST/OWNER) |
| Authorized Official Contact | 3025883280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andina Dental Studio Inc 4100 Dawnbrook Dr Ste 4 Wilmington DE 19804-3932 Ph: (302) 543-5987 | Andina Dental Studio Inc 4100 Dawnbrook Dr Ste 4 Wilmington DE 19804-3932 Ph: (302) 543-5987 |
| NPI Number | 1780272682 |
|---|---|
| Provider Enumeration Date | 01/06/2021 |
| Last Update Date | 01/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780272682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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Connie F. Cicorelli, D.d.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 Silverside Rd, Wilmington, DE 19810 Phone: 302-798-5797 Fax: 302-798-9232 | |
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