Provider Demographics
NPI:1518284710
Name:FAMILY DENTAL
Entity Type:Organization
Organization Name:FAMILY DENTAL
Other - Org Name:ELBA FRANCO DDSPA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELBA
Authorized Official - Middle Name:I
Authorized Official - Last Name:FRANCO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:305-631-1998
Mailing Address - Street 1:2260 SW 8TH ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-4924
Mailing Address - Country:US
Mailing Address - Phone:305-631-1998
Mailing Address - Fax:305-631-1393
Practice Address - Street 1:2260 SW 8TH ST
Practice Address - Street 2:SUITE 201
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-4924
Practice Address - Country:US
Practice Address - Phone:305-631-1998
Practice Address - Fax:305-631-1393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-27
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN17580122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty