Provider Demographics
NPI:1225757362
Name:DAO DENTAL LLC
Entity Type:Organization
Organization Name:DAO DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ABEL
Authorized Official - Middle Name:OSVALDO
Authorized Official - Last Name:DEANNA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:305-505-4768
Mailing Address - Street 1:2901 S BAYSHORE DR
Mailing Address - Street 2:APT 4F
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-6001
Mailing Address - Country:US
Mailing Address - Phone:305-505-4768
Mailing Address - Fax:
Practice Address - Street 1:6140 SW 70 ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-3419
Practice Address - Country:US
Practice Address - Phone:786-206-8003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-23
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental