Provider Demographics
NPI:1972891919
Name:CONGRESS COSMETIC & GENERAL DENTISTRY INC.
Entity Type:Organization
Organization Name:CONGRESS COSMETIC & GENERAL DENTISTRY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:IDALMIS
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS-ABELENDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-434-6661
Mailing Address - Street 1:1620 S CONGRESS AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:PALM SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33461-2128
Mailing Address - Country:US
Mailing Address - Phone:561-434-6661
Mailing Address - Fax:561-434-6662
Practice Address - Street 1:1620 S CONGRESS AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33461-2128
Practice Address - Country:US
Practice Address - Phone:561-434-6661
Practice Address - Fax:561-434-6662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-12
Last Update Date:2011-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty