Provider Demographics
NPI:1669930459
Name:A-Z DENTAL INC.
Entity type:Organization
Organization Name:A-Z DENTAL INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BOBADILLA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:954-253-5998
Mailing Address - Street 1:5924 W 16TH AVE
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-6814
Mailing Address - Country:US
Mailing Address - Phone:305-558-2133
Mailing Address - Fax:305-828-1306
Practice Address - Street 1:5924 W 16TH AVE
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-6814
Practice Address - Country:US
Practice Address - Phone:305-558-2133
Practice Address - Fax:305-828-1306
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A-Z DENTAL INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-03-11
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Multi-Specialty