Provider Demographics
NPI:1780305938
Name:GIOVANNI A ALDAMA DMD PA
Entity type:Organization
Organization Name:GIOVANNI A ALDAMA DMD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GIOVANNI
Authorized Official - Middle Name:
Authorized Official - Last Name:ALDAMA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:786-301-2474
Mailing Address - Street 1:348 ALHAMBRA CIR STE A
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-5004
Mailing Address - Country:US
Mailing Address - Phone:305-317-9887
Mailing Address - Fax:
Practice Address - Street 1:348 ALHAMBRA CIR STE A
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-5004
Practice Address - Country:US
Practice Address - Phone:305-317-9887
Practice Address - Fax:305-513-5175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-07
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty