Provider Demographics
NPI:1326212945
Name:GLOBAL DENTAL GROUP INC
Entity Type:Organization
Organization Name:GLOBAL DENTAL GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ANTONIA
Authorized Official - Last Name:MAURI DE PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-885-1357
Mailing Address - Street 1:101 WESTWARD DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:MIAMI SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-5211
Mailing Address - Country:US
Mailing Address - Phone:305-885-1357
Mailing Address - Fax:305-805-1899
Practice Address - Street 1:101 WESTWARD DR
Practice Address - Street 2:SUITE A
Practice Address - City:MIAMI SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33166-5211
Practice Address - Country:US
Practice Address - Phone:305-885-1357
Practice Address - Fax:305-805-1899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty