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Organization
PANAMERICAN DENTAL CLINIC PA & ASSOCIATES
Active
Organization
PANAMERICAN DENTAL CLINIC PA & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLEN GUTIERREZ DDS (GENERAL DENTIST)
(305) 855-7767
Entity
Organization
Contact information
Practice address
2060 SW 27TH AVE, MIAMI, FL 33145-2548
(305) 444-4430
(305) 885-7767
Mailing address
2060 SW 27TH AVE, MIAMI, FL 33145-2548
(305) 444-4430
(305) 885-7767
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN20998
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006330800
—
FL
Enumeration date
05/30/2013
Last updated
12/01/2016
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