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Organization
SOUTH DENTAL HOMESTEAD
Active
Organization
SOUTH DENTAL HOMESTEAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAHN OPPENHEIMER DDS (OWNER)
(305) 388-7599
Entity
Organization
Contact information
Practice address
925 NE 30TH TER STE 104, HOMESTEAD, FL 33033-7614
(305) 508-7800
(305) 508-7300
Mailing address
925 NE 30TH TER STE 104, HOMESTEAD, FL 33033-7614
(305) 508-7800
(305) 508-7300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13563
FL
Other
Enumeration date
09/26/2008
Last updated
09/26/2008
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