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Organization
MAGIC LITTLE TEETH CORP
Active
Organization
MAGIC LITTLE TEETH CORP
Active
Other names
Miami Dental District
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FERNANDO PINO RIVERA DDS (DENTIST OWNER)
(305) 588-7545
Entity
Organization
Contact information
Practice address
7036 CORAL WAY, MIAMI, FL 33155-1603
(305) 441-7700
Mailing address
7036 CORAL WAY, MIAMI, FL 33155-1603
(305) 441-7700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0700X
Prosthodontics
—
—
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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