Provider Demographics
NPI:1730207101
Name:HAYECK, MARIA-DOLORES (DDS)
Entity type:Individual
Prefix:DR
First Name:MARIA-DOLORES
Middle Name:
Last Name:HAYECK
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6815 SW 73RD CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-2924
Mailing Address - Country:US
Mailing Address - Phone:305-284-9153
Mailing Address - Fax:
Practice Address - Street 1:336 SEVILLA AVE
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-6615
Practice Address - Country:US
Practice Address - Phone:305-444-2120
Practice Address - Fax:305-446-9285
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN99551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice