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Organization
FIRST CLASS DENTAL LLC
Active
Organization
FIRST CLASS DENTAL LLC
Active
Other names
Coral Gables Dental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
SANDOR JAVIER VALLS DMD (OWNER/DENTIST)
(305) 444-8591
Entity
Organization
Contact information
Practice address
747 PONCE DE LEON BLVD STE 401, CORAL GABLES, FL 33134-2073
(305) 444-8591
Mailing address
9451 SW 192ND DR, CUTLER BAY, FL 33157-7933
(786) 970-9723
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023742079
CMS
FL
01
—
1194255539
CMS
FL
01
—
1689353856
CMS
FL
Enumeration date
12/23/2024
Last updated
12/23/2024
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