Provider Demographics
NPI:1093261950
Name:QUALITY PROFESSIONAL DENTISTRY CORP
Entity Type:Organization
Organization Name:QUALITY PROFESSIONAL DENTISTRY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVARES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-582-5735
Mailing Address - Street 1:5040 NW 7TH ST
Mailing Address - Street 2:STE 650
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3422
Mailing Address - Country:US
Mailing Address - Phone:305-582-5735
Mailing Address - Fax:
Practice Address - Street 1:5040 NW 7TH ST
Practice Address - Street 2:STE 650
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-3422
Practice Address - Country:US
Practice Address - Phone:305-582-5735
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-31
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental