Provider Demographics
NPI:1548612849
Name:JUDY MEJIDO DMD PA
Entity Type:Organization
Organization Name:JUDY MEJIDO DMD PA
Other - Org Name:A1 CARE FOR EVERYONE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MEJIDO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:305-274-2110
Mailing Address - Street 1:9560 SW 107TH AVE
Mailing Address - Street 2:STE 206
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2787
Mailing Address - Country:US
Mailing Address - Phone:305-274-2110
Mailing Address - Fax:305-274-2109
Practice Address - Street 1:9560 SW 107TH AVE
Practice Address - Street 2:STE 206
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2787
Practice Address - Country:US
Practice Address - Phone:305-274-2110
Practice Address - Fax:305-274-2109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-11
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN13528122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty