Provider Demographics
NPI:1497024277
Name:SILAMEN DENTAL GROUP INC
Entity Type:Organization
Organization Name:SILAMEN DENTAL GROUP INC
Other - Org Name:SUNSHINE DENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SILVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MENENDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-756-3393
Mailing Address - Street 1:4800 NW 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33127-2304
Mailing Address - Country:US
Mailing Address - Phone:305-756-3393
Mailing Address - Fax:786-313-3142
Practice Address - Street 1:4800 NW 7TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33127-2304
Practice Address - Country:US
Practice Address - Phone:305-756-3393
Practice Address - Fax:786-313-3142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-22
Last Update Date:2011-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN121081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty