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Organization
CARING DENTAL SERVICES
Active
Organization
CARING DENTAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER PHANORD (OWNER)
(305) 685-7863
Entity
Organization
Contact information
Practice address
127 NW 12TH AVE, MIAMI, FL 33128-1008
(305) 325-1771
Mailing address
4789 SW 148TH AVE STE 205, DAVIE, FL 33330-2121
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11339
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
072586200
—
FL
Enumeration date
02/22/2018
Last updated
06/16/2018
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