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Organization
METROPOLITAN DENTAL SERVICES
Active
Organization
METROPOLITAN DENTAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELSA GRULLON CORTORREAL DDS (PRESIDENT)
(305) 364-5056
Entity
Organization
Contact information
Practice address
6969 SW 24TH ST, MIAMI, FL 33155-1705
(305) 364-5056
(305) 364-5061
Mailing address
6969 SW 24TH ST, MIAMI, FL 33155-1705
(305) 364-5056
(305) 364-5061
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN11432
FL
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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