Provider Demographics
NPI:1639367923
Name:VERDES DENTAL SERVICES, INC.
Entity Type:Organization
Organization Name:VERDES DENTAL SERVICES, INC.
Other - Org Name:APPLE FAMILY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MILANKA
Authorized Official - Middle Name:V
Authorized Official - Last Name:VERDES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:305-631-0703
Mailing Address - Street 1:3695 NW 1ST ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-4839
Mailing Address - Country:US
Mailing Address - Phone:305-631-0703
Mailing Address - Fax:305-631-0036
Practice Address - Street 1:3695 NW 1ST ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-4839
Practice Address - Country:US
Practice Address - Phone:305-631-0703
Practice Address - Fax:305-631-0036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-11
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty