Provider Demographics
NPI:1861508814
Name:BARO FAMILY DENTAL GROUP, PA
Entity Type:Organization
Organization Name:BARO FAMILY DENTAL GROUP, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSEMARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:305-649-3500
Mailing Address - Street 1:1449 W FLAGLER ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-2208
Mailing Address - Country:US
Mailing Address - Phone:305-649-3500
Mailing Address - Fax:305-649-0396
Practice Address - Street 1:1449 W FLAGLER ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-2208
Practice Address - Country:US
Practice Address - Phone:305-649-3500
Practice Address - Fax:305-649-0396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN148231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty