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Organization
SOUTH DENTAL AT SUNNY ISLES BEACH INC.
Active
Organization
SOUTH DENTAL AT SUNNY ISLES BEACH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIAS TOBON-ANGEL DMD (OWNER)
(786) 224-0848
Entity
Organization
Contact information
Practice address
16850 COLLINS AVE STE 113C, SUNNY ISLES BEACH, FL 33160-4237
(786) 707-4757
Mailing address
16850 COLLINS AVE STE 113C, SUNNY ISLES BEACH, FL 33160-4237
(786) 707-4757
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN14672
FL
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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