Provider Demographics
NPI:1619830015
Name:DENTA LOGIC GROUP LLC
Entity type:Organization
Organization Name:DENTA LOGIC GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JANNET
Authorized Official - Middle Name:E
Authorized Official - Last Name:HIDALGO PINARES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-542-2346
Mailing Address - Street 1:900 N FEDERAL HWY STE 308
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-2545
Mailing Address - Country:US
Mailing Address - Phone:305-542-2346
Mailing Address - Fax:
Practice Address - Street 1:900 N FEDERAL HWY STE 308
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-2545
Practice Address - Country:US
Practice Address - Phone:305-542-2346
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-03
Last Update Date:2025-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty