Provider Demographics
NPI:1053626382
Name:MIAMI SEDATION & COSMETIC DENTISTRY, LLC.
Entity Type:Organization
Organization Name:MIAMI SEDATION & COSMETIC DENTISTRY, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:BANA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:305-441-0499
Mailing Address - Street 1:2645 SW 37TH AVE
Mailing Address - Street 2:SUITE 303
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-2754
Mailing Address - Country:US
Mailing Address - Phone:305-441-0499
Mailing Address - Fax:305-441-0114
Practice Address - Street 1:2645 SW 37TH AVE
Practice Address - Street 2:SUITE 303
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-2754
Practice Address - Country:US
Practice Address - Phone:305-441-0499
Practice Address - Fax:305-441-0114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-11
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty