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Provider Information for 1316187784


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Dr. ADELA HARATZ DDS


Other Names:  
Former Name: 
Dr. ADELA HARATZ dds

Sex: Female

NPI: 1316187784
Last Updated: 2011-09-21
Certification Date:

Details

NameValue
NPI1316187784
Enumeration Date2009-02-25
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 3040 NE 190TH ST
APT# 304
AVENTURA, FL 33180-3141
United States

Phone: 754-423-5416 | Fax:
 
Primary Practice Address 3040 NE 190TH ST
APT# 304
AVENTURA, FL 33180-3141
United States

Phone: 754-423-5416 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 122300000X - Dentist FLDN19551