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Organization
PEMBROKEMIRODENTALOFFICE
Active
Organization
PEMBROKEMIRODENTALOFFICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDIO MIRO DDS (DR)
(305) 273-4334
Entity
Organization
Contact information
Practice address
12251 TAFT ST STE 400, PEMBROKE PINES, FL 33026-1956
(954) 436-7699
Mailing address
12251 TAFT ST STE 400, PEMBROKE PINES, FL 33026-1956
(954) 436-7699
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN11650
FL
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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