| Gomez & Revuelta,dds,pa | |
|
1255 W 46th St Ste 1 Hialeah FL 33012-3257 | |
| (305) 558-2933 | |
| (305) 558-6970 |
| Full Name | Gomez & Revuelta,dds,pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1255 W 46th St Ste 1, Hialeah, Florida |
| Authorized Official Name and Position | Ana Maria Revuelta (OWNER/DENTIST) |
| Authorized Official Contact | 3055582933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gomez & Revuelta,dds,pa 1255 W 46th St Ste 1 Hialeah FL 33012-3257 Ph: (305) 558-2933 | Gomez & Revuelta,dds,pa 1255 W 46th St Ste 1 Hialeah FL 33012-3257 Ph: (305) 558-2933 |
| NPI Number | 1912195033 |
|---|---|
| Provider Enumeration Date | 10/15/2007 |
| Last Update Date | 10/15/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912195033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN12049 (Florida) | Primary |
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