Provider Demographics
NPI:1588323364
Name:CONNECT DENTAL CARE
Entity type:Organization
Organization Name:CONNECT DENTAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
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, FAGD, DICOI
Authorized Official - Phone:305-669-8700
Mailing Address - Street 1:6701 SUNSET DR STE 205
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4529
Mailing Address - Country:US
Mailing Address - Phone:305-669-8700
Mailing Address - Fax:305-669-8398
Practice Address - Street 1:6701 SUNSET DR STE 205
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4529
Practice Address - Country:US
Practice Address - Phone:305-669-8700
Practice Address - Fax:305-669-8398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-09
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty