Provider Demographics
NPI:1427246271
Name:FAMILY & COSMETIC DENTISTRY
Entity type:Organization
Organization Name:FAMILY & COSMETIC DENTISTRY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAMARIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SALCINES
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:786-243-2438
Mailing Address - Street 1:11371 SW 211TH ST
Mailing Address - Street 2:SUITE 27
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33189-2244
Mailing Address - Country:US
Mailing Address - Phone:305-259-8818
Mailing Address - Fax:305-259-8781
Practice Address - Street 1:11371 SW 211TH ST
Practice Address - Street 2:SUITE 27
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33189-2244
Practice Address - Country:US
Practice Address - Phone:305-259-8818
Practice Address - Fax:305-259-8781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-05
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN134921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL42263OtherADI PROVIDER NUMBER