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Organization
JUAN C. BIRD DMD PA
Active
Organization
JUAN C. BIRD DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN CARLOS BIRD D.M.D. (PRESIDENT)
(305) 386-2713
Entity
Organization
Contact information
Practice address
401 MIRACLE MILE, STE 411, CORAL GABLES, FL 33134-4926
(305) 648-9190
(305) 648-9191
Mailing address
10249 SW 162ND CT, MIAMI, FL 33196-5892
(305) 386-2713
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/21/2006
Last updated
08/22/2020
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