Provider Demographics
NPI:1871260323
Name:TESTAR DENTAL PA
Entity Type:Organization
Organization Name:TESTAR DENTAL PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANAMARY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAREZ TESTAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:786-646-8800
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:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty