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Organization
UNIVERSAL DENTAL GROUP
Active
Organization
UNIVERSAL DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN GONZALEZ MR (PRESIDENT)
(305) 903-1161
Entity
Organization
Contact information
Practice address
1935 WEST 60 STREET, HIALEAH, FL 33012
(305) 821-3344
(305) 821-3311
Mailing address
1935 W 60TH ST, HIALEAH, FL 33012-7504
(305) 821-3344
(305) 821-3311
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN13222
FL
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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