Cabassa Latoni, Roberto Joaquin

Cabassa Latoni, Roberto Joaquin is an individual health care provider with primary practice located at 819 Ne 26Th St Ste C , Wilton Manors FL 33305-1239. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Cabassa Latoni, Roberto Joaquin can be contacted via phone (305) 484-3657.

Contact Information

Primary practice address
819 Ne 26Th St Ste C Wilton Manors FL 33305-1239
Phone: (305) 484-3657
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DTP695 Florida

Profile Details

NPI number 1063483444
LBN Legal business name Cabassa Latoni, Roberto Joaquin
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Mar 9th, 2020 - about 5 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 1063483444 NPPES
Florida MEDICAID 102175000

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