| Northland Dental | |
|
2825 S.w. 22 Street Coral Gables FL 33145-3203 | |
| (305) 448-1172 | |
| (305) 446-2724 |
| Full Name | Northland Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2825 S.w. 22 Street, Coral Gables, Florida |
| Authorized Official Name and Position | Eduardo Northland (PRESIDENT) |
| Authorized Official Contact | 3054481172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northland Dental 2825 S.w. 22 Street Coral Gables FL 33145-3203 Ph: (305) 448-1172 | Northland Dental 2825 S.w. 22 Street Coral Gables FL 33145-3203 Ph: (305) 448-1172 |
| NPI Number | 1093733024 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 07/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093733024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN0012377 (Florida) | Primary |
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