Madera, Michelle

Madera, Michelle is an individual health care provider with primary practice located at 1750 Ne 167Th St , North Miami Beach FL 33162-3017. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Madera, Michelle can be contacted via phone (269) 567-8611.

Contact Information

Primary practice address
1750 Ne 167Th St North Miami Beach FL 33162-3017
Phone: (269) 567-8611
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN1856589 Massachusetts
Dental Providers / Dentist 122300000X DN22422 Florida

Profile Details

NPI number 1912312554
LBN Legal business name Madera, Michelle
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2014
Last updated Nov 25th, 2020 - about 6 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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