Provider Demographics
NPI:1487270526
Name:DENTAL SOLUTIONS THE KEYS LLC
Entity type:Organization
Organization Name:DENTAL SOLUTIONS THE KEYS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:CARLOS
Authorized Official - Last Name:BUITRAGO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:786-481-3788
Mailing Address - Street 1:11399 OVERSEAS HWY STE 4
Mailing Address - Street 2:
Mailing Address - City:MARATHON
Mailing Address - State:FL
Mailing Address - Zip Code:33050-3407
Mailing Address - Country:US
Mailing Address - Phone:786-481-3788
Mailing Address - Fax:
Practice Address - Street 1:11399 OVERSEAS HWY STE 4
Practice Address - Street 2:
Practice Address - City:MARATHON
Practice Address - State:FL
Practice Address - Zip Code:33050-3407
Practice Address - Country:US
Practice Address - Phone:786-481-3788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-24
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental