Doral Pediatric Dentistry, LLC
NPI 1720202815ActiveOrganization· Dentist, Pediatric Dentistry· Doral, FL
Dentist, Pediatric Dentistry in Doral, Florida, registered in NPPES in April 2007. The authorized official on file is Juan Luis Garrastazu, DMD, President.
Overview
| NPI | 1720202815 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 12, 2007 |
| Last updated in NPPES | Sep 6, 2023 |
| Certified by provider | Sep 6, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | — | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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