Provider Demographics
NPI:1003229709
Name:RUMAR DENTAL GROUP CORP
Entity Type:Organization
Organization Name:RUMAR DENTAL GROUP CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RUBEN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS GONZALES
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:786-542-9892
Mailing Address - Street 1:4750 NW 7 ST SUITE #1
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126
Mailing Address - Country:US
Mailing Address - Phone:786-542-9892
Mailing Address - Fax:786-615-3740
Practice Address - Street 1:4750 NW 7 ST SUITE #1
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126
Practice Address - Country:US
Practice Address - Phone:786-542-9892
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-10
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty