Provider Demographics
NPI:1699483487
Name:DORAL FAMILY DENTISTRY P.A.
Entity type:Organization
Organization Name:DORAL FAMILY DENTISTRY P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROGELIO
Authorized Official - Middle Name:
Authorized Official - Last Name:GARROTE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:305-331-2685
Mailing Address - Street 1:7885 NW 107TH AVE
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-4426
Mailing Address - Country:US
Mailing Address - Phone:305-307-7017
Mailing Address - Fax:
Practice Address - Street 1:7885 NW 107TH AVE
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-4426
Practice Address - Country:US
Practice Address - Phone:305-307-7017
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-10
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty