Provider Demographics
NPI:1821145228
Name:MIAMI LAKES DENTAL HEALTH CENTER
Entity Type:Organization
Organization Name:MIAMI LAKES DENTAL HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:CARLOS
Authorized Official - Last Name:ERRO
Authorized Official - Suffix:
Authorized Official - Credentials:D,D,S
Authorized Official - Phone:305-557-7775
Mailing Address - Street 1:15450 NEW BARN RD
Mailing Address - Street 2:101
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2169
Mailing Address - Country:US
Mailing Address - Phone:305-557-7775
Mailing Address - Fax:
Practice Address - Street 1:15450 NEW BARN RD
Practice Address - Street 2:101
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2169
Practice Address - Country:US
Practice Address - Phone:305-557-7775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty