Ubau, Jorge Wilder

Ubau, Jorge Wilder is an individual health care provider with primary practice located at 710 Alton Rd , Miami Beach FL 33139-5504. He recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as his primary health care specialty. Ubau, Jorge Wilder can be contacted via phone (305) 538-8835.

Contact Information

Primary practice address
710 Alton Rd Miami Beach FL 33139-5504
Phone: (305) 538-8835
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X DH15723 Florida

Profile Details

NPI number 1275004343
LBN Legal business name Ubau, Jorge Wilder
Credentials DH
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2018
Last updated Aug 24th, 2023 - about 3 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 1275004343 NPPES
Florida MEDICAID 113633000

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