Provider Demographics
NPI:1942983630
Name:EGIL DENTAL.CORP
Entity Type:Organization
Organization Name:EGIL DENTAL.CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:F
Authorized Official - Last Name:GIL ARAUJO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:305-595-4397
Mailing Address - Street 1:9950 SW 107TH AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2767
Mailing Address - Country:US
Mailing Address - Phone:305-595-4397
Mailing Address - Fax:305-595-4398
Practice Address - Street 1:9950 SW 107TH AVE STE 201
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2767
Practice Address - Country:US
Practice Address - Phone:305-595-4397
Practice Address - Fax:305-595-4398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-09
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty