Provider Demographics
NPI:1881033249
Name:BEST FAMILY DENTAL
Entity Type:Organization
Organization Name:BEST FAMILY DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRECIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARMOLEJOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-624-4114
Mailing Address - Street 1:5190 NW 167TH ST STE 216
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33014-6338
Mailing Address - Country:US
Mailing Address - Phone:305-624-4114
Mailing Address - Fax:305-624-4319
Practice Address - Street 1:5190 NW 167TH ST STE 216
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33014-6338
Practice Address - Country:US
Practice Address - Phone:305-624-4114
Practice Address - Fax:305-624-4319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-19
Last Update Date:2013-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty