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Organization
INNOVATIVE ENDODONTICS, PA
Active
Organization
INNOVATIVE ENDODONTICS, PA
Active
Other names
INNOVATIVE ENDODONTICS, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN CARLOS ANGUITA DMD (PRESIDENT)
(305) 761-3209
Entity
Organization
Contact information
Practice address
7190 SW 87TH AVE STE 206, MIAMI, FL 33173-2542
(305) 761-3209
Mailing address
6847 SUNRISE CT, CORAL GABLES, FL 33133-7017
(305) 761-3209
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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