Lopez De Victoria, Millied

Lopez De Victoria, Millied is an sole proprietor health care provider with primary practice located at 18255 Homestead Ave , Miami FL 33157-5564. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Lopez De Victoria, Millied can be contacted via phone (305) 278-6420.

Contact Information

Primary practice address
18255 Homestead Ave Miami FL 33157-5564
Phone: (305) 278-6420
Fax: (786) 573-2867
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN17815 Florida
Dental Providers / General Practice 1223G0001X 7692 North Carolina

Profile Details

NPI number 1467405423
LBN Legal business name Lopez De Victoria, Millied
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2006
Last updated Dec 19th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467405423 NPPES
Florida MEDICAID 076638100
Florida MEDICAID 89902U9

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