Provider Demographics
NPI:1649772625
Name:A-Z DENTAL INC.
Entity Type:Organization
Organization Name:A-Z DENTAL INC.
Other - Org Name:A-Z DENTAL INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOBADILLA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:954-253-5998
Mailing Address - Street 1:5924 W 16TH AVE
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-6814
Mailing Address - Country:US
Mailing Address - Phone:305-558-2133
Mailing Address - Fax:305-818-6677
Practice Address - Street 1:5924 W 16TH AVE
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-6814
Practice Address - Country:US
Practice Address - Phone:305-558-2133
Practice Address - Fax:786-899-0801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-06
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Multi-Specialty