Provider Demographics
NPI:1306024625
Name:TOWN AND COUNTRY FAMILY DENTAL
Entity Type:Organization
Organization Name:TOWN AND COUNTRY FAMILY DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:F
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:305-271-6666
Mailing Address - Street 1:8226 MILLS DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-4805
Mailing Address - Country:US
Mailing Address - Phone:305-271-6666
Mailing Address - Fax:305-271-0115
Practice Address - Street 1:8226 MILLS DR
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-4805
Practice Address - Country:US
Practice Address - Phone:305-271-6666
Practice Address - Fax:305-271-0115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-08
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty