Provider Demographics
NPI:1336385954
Name:JADENT INC
Entity Type:Organization
Organization Name:JADENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEFINA
Authorized Official - Middle Name:
Authorized Official - Last Name:AROCHA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:305-220-0066
Mailing Address - Street 1:3945 SW 92ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-4156
Mailing Address - Country:US
Mailing Address - Phone:305-220-0066
Mailing Address - Fax:305-220-1210
Practice Address - Street 1:3945 SW 92ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-4156
Practice Address - Country:US
Practice Address - Phone:305-220-0066
Practice Address - Fax:305-220-1210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-02
Last Update Date:2015-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 140471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty