Provider Demographics
NPI:1205161742
Name:ERRO, JUAN C (DDS)
Entity type:Individual
Prefix:
First Name:JUAN
Middle Name:C
Last Name:ERRO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:935 W 49TH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-3436
Mailing Address - Country:US
Mailing Address - Phone:305-821-7811
Mailing Address - Fax:305-821-7255
Practice Address - Street 1:935 W 49TH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3436
Practice Address - Country:US
Practice Address - Phone:305-821-7811
Practice Address - Fax:305-821-7255
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-15
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN95991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice