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Organization
VILLAGE OF DENTISTRY BIRD RD LLC
Active
Organization
VILLAGE OF DENTISTRY BIRD RD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTO GONZALEZ DIAZ DDS (OWNER)
(786) 317-3321
Entity
Organization
Contact information
Practice address
8582 BIRD RD, MIAMI, FL 33155-3214
(786) 442-2878
(786) 550-6551
Mailing address
8582 BIRD RD, MIAMI, FL 33155-3214
(786) 442-2878
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/03/2024
Last updated
01/22/2025
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