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Organization
SOUTH FLORIDA DENTAL CARE
Active
Organization
SOUTH FLORIDA DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY ELIZABETH PINALES SWANSON DDS (OWNER)
(305) 409-9397
Entity
Organization
Contact information
Practice address
922 E 25TH ST, HIALEAH, FL 33013-3404
(178) 654-2970
(786) 542-9690
Mailing address
922 E 25TH ST, HIALEAH, FL 33013-3404
(178) 654-2970
(786) 542-9690
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790085819
—
FL
Enumeration date
08/08/2018
Last updated
08/08/2018
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