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Organization
SOUTH DENTAL DORAL, SPA, INC
Active
Organization
SOUTH DENTAL DORAL, SPA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAHN OPPENHEIMER DDS (OWNER)
(305) 388-7599
Entity
Organization
Contact information
Practice address
3655 NW 107TH AVE, SUITE 103, DORAL, FL 33178-4327
(305) 388-7599
(305) 388-1315
Mailing address
3655 NW 107TH AVE, SUITE 103, DORAL, FL 33178-4327
(305) 388-7599
(305) 388-1315
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13563
FL
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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