Provider Demographics
NPI:1154762565
Name:SUNSET FAMILY AND COSMETIC DENTISTRY, PLLC
Entity type:Organization
Organization Name:SUNSET FAMILY AND COSMETIC DENTISTRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF DENTAL MEDICINE
Authorized Official - Prefix:DR
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:UBIETA ARBESU
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:305-596-2815
Mailing Address - Street 1:9777 SW 72ND ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-4615
Mailing Address - Country:US
Mailing Address - Phone:305-763-6220
Mailing Address - Fax:305-596-1820
Practice Address - Street 1:9777 SW 72ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-4615
Practice Address - Country:US
Practice Address - Phone:305-763-6220
Practice Address - Fax:305-596-1820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-13
Last Update Date:2013-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN20181261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental