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Organization
JOSSUE ALFONSO DMD PA
Active
Organization
JOSSUE ALFONSO DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSSUE ALFONSO D.M.D (PRESIDENT)
(305) 642-4142
Entity
Organization
Contact information
Practice address
351 NW 42ND AVE, SUITE 402, MIAMI, FL 33126-5683
(305) 642-4142
(305) 642-4143
Mailing address
351 NW 42ND AVE, SUITE 402, MIAMI, FL 33126-5683
(305) 642-4142
(305) 642-4143
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN19316
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009946500
—
FL
Enumeration date
08/01/2014
Last updated
08/01/2014
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