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Organization
VENETO DENTAL CARE
Active
Organization
VENETO DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLORIA MARIA HENAO (OWNER)
(954) 430-7789
Entity
Organization
Contact information
Practice address
3600 RED RD, SUITE 604, MIRAMAR, FL 33025-6013
(954) 430-7789
(954) 430-6622
Mailing address
3600 RED RD, SUITE 604, MIRAMAR, FL 33025-6013
(954) 430-7789
(954) 430-6622
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN17090
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306003488
INDIVIDUAL
FL
Enumeration date
06/09/2011
Last updated
06/09/2011
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