Provider Demographics
NPI:1679965131
Name:APONTE DENTAL CORP
Entity type:Organization
Organization Name:APONTE DENTAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/ PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SECIL
Authorized Official - Middle Name:
Authorized Official - Last Name:APONTE BARRIOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-265-6120
Mailing Address - Street 1:1350 SW 57TH AVE STE 106
Mailing Address - Street 2:
Mailing Address - City:WEST MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-5700
Mailing Address - Country:US
Mailing Address - Phone:305-265-6120
Mailing Address - Fax:305-265-6121
Practice Address - Street 1:1350 SW 57TH AVE STE 106
Practice Address - Street 2:
Practice Address - City:WEST MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-5700
Practice Address - Country:US
Practice Address - Phone:305-265-6120
Practice Address - Fax:305-265-6121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-20
Last Update Date:2015-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN20182261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental