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Organization
SHINY SMILE DENTAL CARE
Active
Organization
SHINY SMILE DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAYRA FANDINO DDS (DENTIST)
(305) 687-6880
Entity
Organization
Contact information
Practice address
482 FISHERMAN ST, OPA LOCKA, FL 33054-3818
(305) 687-6880
(305) 688-1661
Mailing address
482 FISHERMAN ST, OPA LOCKA, FL 33054-3818
(305) 687-6880
(305) 688-1661
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN15967
FL
Other
Enumeration date
12/17/2008
Last updated
12/17/2008
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