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Organization
UNITED DENTAL GROUP
Active
Organization
UNITED DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAVIER CARRILLO (PRESIDENT)
(786) 464-0584
Entity
Organization
Contact information
Practice address
10300 SW 72ND ST STE 358, MIAMI, FL 33173-3020
(786) 464-0584
(786) 464-0721
Mailing address
10300 SW 72ND ST STE 358, MIAMI, FL 33173-3020
(786) 464-0584
(786) 464-0721
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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