Dorado, Leo S.

Dorado, Leo S. is an individual health care provider with primary practice located at 1611 Nw 12Th Ave Box 016960 M851, Miami FL 33136-1005. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Dorado, Leo S. can be contacted via phone (305) 585-1288.

Contact Information

Primary practice address
1611 Nw 12Th Ave Box 016960 M851 Miami FL 33136-1005
Fax: (305) 243-8470
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DTP234 Florida

Profile Details

NPI number 1891759726
LBN Legal business name Dorado, Leo S.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated May 31st, 2012 - about 12 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 1891759726 NPPES
Florida MEDICAID 0717487-00

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