Provider Demographics
NPI:1083835086
Name:RAZAR DENTAL GROUP #2 INC
Entity Type:Organization
Organization Name:RAZAR DENTAL GROUP #2 INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:ALEJANDRO
Authorized Official - Last Name:ZARDON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:305-827-1700
Mailing Address - Street 1:RAZAR DENTAL GROUP #2 INC
Mailing Address - Street 2:5864 NW 183RD ST
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015
Mailing Address - Country:US
Mailing Address - Phone:305-827-1700
Mailing Address - Fax:305-827-3922
Practice Address - Street 1:RAZAR DENTAL GROUP #2 INC
Practice Address - Street 2:5864 NW 183RD ST
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015
Practice Address - Country:US
Practice Address - Phone:305-827-1700
Practice Address - Fax:305-827-3922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty