Provider Demographics
NPI:1790239309
Name:D & M DENTONURSE INC.
Entity Type:Organization
Organization Name:D & M DENTONURSE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIOVER
Authorized Official - Middle Name:FRANCISCO
Authorized Official - Last Name:MILANES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:305-646-6828
Mailing Address - Street 1:441 SW 17TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-3626
Mailing Address - Country:US
Mailing Address - Phone:305-646-6868
Mailing Address - Fax:
Practice Address - Street 1:441 SW 17TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-3626
Practice Address - Country:US
Practice Address - Phone:305-646-6868
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-11
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN183091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty