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Organization
HEALTHY FAMILY DENTAL INC
Active
Organization
HEALTHY FAMILY DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENATE MANNS (CFO)
(305) 231-7477
Entity
Organization
Contact information
Practice address
5376 W 16TH AVE, HIALEAH, FL 33012-2165
(305) 231-7477
Mailing address
5376 W 16TH AVE, HIALEAH, FL 33012-2165
(305) 231-7477
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN20258
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN20258
DENTAL LIC
FL
Enumeration date
06/10/2016
Last updated
06/10/2016
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