Provider Demographics
NPI:1194928325
Name:DOCTORS DENTAL
Entity type:Organization
Organization Name:DOCTORS DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAYAS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:305-261-8080
Mailing Address - Street 1:7175 SW 8TH ST STE 205
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-4671
Mailing Address - Country:US
Mailing Address - Phone:305-261-8080
Mailing Address - Fax:305-261-8086
Practice Address - Street 1:7175 SW 8TH ST STE 205
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-4671
Practice Address - Country:US
Practice Address - Phone:305-261-8080
Practice Address - Fax:305-261-8086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty