| Dr. G Dental Studio | |
|
2500 Sw 107th Ave Ste 45 Miami FL 33165-2492 | |
| (305) 217-6453 | |
| Not Available |
| Full Name | Dr. G Dental Studio |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2500 Sw 107th Ave Ste 45, Miami, Florida |
| Authorized Official Name and Position | Shaun Simmons (PRESIDENT) |
| Authorized Official Contact | 4123298366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. G Dental Studio 2500 Sw 107th Ave Ste 45 Miami FL 33165-2492 Ph: (305) 217-6453 | Dr. G Dental Studio 2500 Sw 107th Ave Ste 45 Miami FL 33165-2492 Ph: (305) 217-6453 |
| NPI Number | 1952916306 |
|---|---|
| Provider Enumeration Date | 09/12/2020 |
| Last Update Date | 09/12/2020 |
| Certification Date | 09/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952916306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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